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LTD.</SupplierName></Supplier><Supplier><SupplierCode>VO</SupplierCode><SupplierName>RIGICON PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>RB</SupplierCode><SupplierName>ROCHE DIABETES CARE AUSTRALIA PTY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>RK</SupplierCode><SupplierName>Rocket Medical</SupplierName></Supplier><Supplier><SupplierCode>RQ</SupplierCode><SupplierName>RQSOLUTIONS MEDICAL DEVICES DISTRIBUTION SUPPORT PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>RI</SupplierCode><SupplierName>RTI Surgical Australia Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>UY</SupplierCode><SupplierName>SALUDA MEDICAL PTY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>SF</SupplierCode><SupplierName>SIGNATURE ORTHOPAEDICS PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>SV</SupplierCode><SupplierName>Signature Spine and Joint Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>AAI</SupplierCode><SupplierName>SILONY SPINE PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>VX</SupplierCode><SupplierName>SIRTEX MEDICAL LIMITED</SupplierName></Supplier><Supplier><SupplierCode>TY</SupplierCode><SupplierName>Slade Health Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>SL</SupplierCode><SupplierName>SMITH &amp; NEPHEW PTY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>SI</SupplierCode><SupplierName>Smiths Medical Australasia Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>SAA</SupplierCode><SupplierName>Southern Adelaide Local Health Network Incorporated</SupplierName></Supplier><Supplier><SupplierCode>UT</SupplierCode><SupplierName>SOUTHERN CROSS SURGICAL PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>IC</SupplierCode><SupplierName>Southern Implants Australia Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>SC</SupplierCode><SupplierName>Specialist Medical Supplies</SupplierName></Supplier><Supplier><SupplierCode>UI</SupplierCode><SupplierName>SPECIFICA PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>SO</SupplierCode><SupplierName>Spectrum Surgical</SupplierName></Supplier><Supplier><SupplierCode>DU</SupplierCode><SupplierName>SPINEART AUSTRALIA PTY. LTD.</SupplierName></Supplier><Supplier><SupplierCode>SHV</SupplierCode><SupplierName>ST. VINCENT'S HOSPITAL SYDNEY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>BW</SupplierCode><SupplierName>STABLE ORTHOPAEDICS PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>WV</SupplierCode><SupplierName>STERIS AUSTRALIA PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>SB</SupplierCode><SupplierName>STRAUMANN PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>HW</SupplierCode><SupplierName>STRYKER AUSTRALIA PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>JV</SupplierCode><SupplierName>STRYKER AUSTRALIA PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>SQ</SupplierCode><SupplierName>Surgical Specialties Pty Limited</SupplierName></Supplier><Supplier><SupplierCode>ZW</SupplierCode><SupplierName>Surgical Supplies Australia Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>BR</SupplierCode><SupplierName>Surgien Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>VU</SupplierCode><SupplierName>SURGIVISION PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>TW</SupplierCode><SupplierName>SWISSMED PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>SAC</SupplierCode><SupplierName>Sydney Local Health District</SupplierName></Supplier><Supplier><SupplierCode>WQ</SupplierCode><SupplierName>SYMBIOS ORTHOPAEDICS PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>TK</SupplierCode><SupplierName>Tekmed Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>TX</SupplierCode><SupplierName>TELEFLEX MEDICAL AUSTRALIA PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>TU</SupplierCode><SupplierName>Terumo Australia</SupplierName></Supplier><Supplier><SupplierCode>UP</SupplierCode><SupplierName>The Trustee for BRAXTON INVESTMENT FUND</SupplierName></Supplier><Supplier><SupplierCode>WL</SupplierCode><SupplierName>The Trustee for CMJH FAMILY TRUST</SupplierName></Supplier><Supplier><SupplierCode>VY</SupplierCode><SupplierName>THE TRUSTEE FOR ELDA TRUST</SupplierName></Supplier><Supplier><SupplierCode>UK</SupplierCode><SupplierName>The Trustee for Giorgios and Katarina Loizou Family Trust</SupplierName></Supplier><Supplier><SupplierCode>TG</SupplierCode><SupplierName>The Trustee for Gregory Family Trust</SupplierName></Supplier><Supplier><SupplierCode>WP</SupplierCode><SupplierName>The Trustee for The Ophthalmopro Unit Trust</SupplierName></Supplier><Supplier><SupplierCode>TS</SupplierCode><SupplierName>TREWAVIS SURGICAL INSTRUMENTS PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>AAJ</SupplierCode><SupplierName>VANTIVE PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>VN</SupplierCode><SupplierName>Varian Medical Systems Australia</SupplierName></Supplier><Supplier><SupplierCode>VB</SupplierCode><SupplierName>VICKI PARTRIDGE PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>VD</SupplierCode><SupplierName>VISTAMED PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>VM</SupplierCode><SupplierName>Vitramed Pty Ltd</SupplierName></Supplier><Supplier><SupplierCode>WB</SupplierCode><SupplierName>W 9 PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>GT</SupplierCode><SupplierName>W L GORE &amp; ASSOCIATES (AUSTRALIA) PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>WA</SupplierCode><SupplierName>WILLIAM A. COOK AUSTRALIA PTY. LTD.</SupplierName></Supplier><Supplier><SupplierCode>YA</SupplierCode><SupplierName>YPSOMED AUSTRALIA PTY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>ZA</SupplierCode><SupplierName>ZIMMER BIOMET PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>WK</SupplierCode><SupplierName>ZIRVE PTY LTD</SupplierName></Supplier></Suppliers><Categories><Category><CategoryID>6</CategoryID><CategoryDescription>01 - Cardio-thoracic</CategoryDescription></Category><Category><CategoryID>1</CategoryID><CategoryDescription>01 - Ophthalmic</CategoryDescription></Category><Category><CategoryID>22</CategoryID><CategoryDescription>02 - Ear, Nose &amp; Throat</CategoryDescription></Category><Category><CategoryID>41</CategoryID><CategoryDescription>02 - Ophthalmic</CategoryDescription></Category><Category><CategoryID>21</CategoryID><CategoryDescription>03 - General Miscellaneous</CategoryDescription></Category><Category><CategoryID>3</CategoryID><CategoryDescription>03 - Orthopaedic</CategoryDescription></Category><Category><CategoryID>28</CategoryID><CategoryDescription>04 - Dermatologic</CategoryDescription></Category><Category><CategoryID>25</CategoryID><CategoryDescription>04 - Neurosurgical</CategoryDescription></Category><Category><CategoryID>26</CategoryID><CategoryDescription>05 - Urogenital</CategoryDescription></Category><Category><CategoryID>13</CategoryID><CategoryDescription>06 - Specialist Orthopaedic</CategoryDescription></Category><Category><CategoryID>23</CategoryID><CategoryDescription>07 - Plastic and Reconstructive</CategoryDescription></Category><Category><CategoryID>27</CategoryID><CategoryDescription>08 - Cardiac</CategoryDescription></Category><Category><CategoryID>20</CategoryID><CategoryDescription>09 - Cardiothoracic</CategoryDescription></Category><Category><CategoryID>24</CategoryID><CategoryDescription>10 - Vascular</CategoryDescription></Category><Category><CategoryID>18</CategoryID><CategoryDescription>11 - Hip</CategoryDescription></Category><Category><CategoryID>17</CategoryID><CategoryDescription>12 - Knee</CategoryDescription></Category><Category><CategoryID>19</CategoryID><CategoryDescription>13 - Spinal</CategoryDescription></Category></Categories><SubCategories><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>262</SubCategoryID><SubCategoryDescription>01.10 - Artificial Iris</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>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>294</SubCategoryID><SubCategoryDescription>03.10 - Electronic Controlling Devices (Insulin)</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>253</SubCategoryID><SubCategoryDescription>04.09 - Intracranial Pressure (ICP) Monitoring</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>255</SubCategoryID><SubCategoryDescription>04.10 - Cerebrospinal Fluid (CSF) Diversion</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>256</SubCategoryID><SubCategoryDescription>05.03 - Voiding Dysfunction Prostheses</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>124</SubCategoryID><SubCategoryDescription>06.01 - ANKLE AND FOOT</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>131</SubCategoryID><SubCategoryDescription>06.02 - UPPER LIMB</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>123</SubCategoryID><SubCategoryDescription>06.03 - SKELETAL RECONSTRUCTION</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>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>293</SubCategoryID><SubCategoryDescription>08.14 - Implantable Cardiac Event Recorders</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>257</SubCategoryID><SubCategoryDescription>08.15 - Stents For Treatment Of Coarctation Of The Aorta</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>297</SubCategoryID><SubCategoryDescription>08.19 - Percutaneous Coronary Interventions</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>251</SubCategoryID><SubCategoryDescription>09.08 - Cardiac Assisted Fixation Devices</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>186</SubCategoryID><SubCategoryDescription>09.09 - Aorta and Side Branch Grafts</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>252</SubCategoryID><SubCategoryDescription>09.10 - Skeletal Fixation Devices</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>259</SubCategoryID><SubCategoryDescription>09.11 - Implant Ventricular Assist System</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>291</SubCategoryID><SubCategoryDescription>09.14 - Surgical cardiac ablation</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>296</SubCategoryID><SubCategoryDescription>10.11 - Vascular Reconstruction</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>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>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>261</SubCategoryID><SubCategoryDescription>13.14 - Sacroiliac Joint Fixation</SubCategoryDescription></SubCategory><SubCategory><SubCategoryID>263</SubCategoryID><SubCategoryDescription>13.15 - Annular closure/reconstruction</SubCategoryDescription></SubCategory></SubCategories><Groups><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>1802</GroupID><GroupDescription>01.05.03 - Ab Interno Glaucoma Drainage Device</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>1803</GroupID><GroupDescription>01.07.03 - Balloon Dilatation Catheters</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>1822</GroupID><GroupDescription>01.10.01 - Foldable</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>1560</GroupID><GroupDescription>02.01.04 - Implantable Bone Conduction Hearing System</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>2521</GroupID><GroupDescription>02.01.08 - Tympanic Membrane Grafts</GroupDescription></Group><Group><GroupID>2960</GroupID><GroupDescription>02.01.09 - Implantable Piezoelectric Bone Conduction Hearing System (all components)</GroupDescription></Group><Group><GroupID>1568</GroupID><GroupDescription>02.02.01 - Septal Button</GroupDescription></Group><Group><GroupID>1817</GroupID><GroupDescription>02.02.02 - Nasal Valve Stent</GroupDescription></Group><Group><GroupID>2969</GroupID><GroupDescription>02.02.03 - Absorbable Nasal Implant</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>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>1792</GroupID><GroupDescription>03.01.03 - Tissue Expander/Separator</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>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>1781</GroupID><GroupDescription>03.04.02 - Gastric Band without Port</GroupDescription></Group><Group><GroupID>1779</GroupID><GroupDescription>03.04.03 - Replacement Injection Ports</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>1797</GroupID><GroupDescription>03.05.06 - Foam</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>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>1577</GroupID><GroupDescription>03.07.01 - Drainage Catheters</GroupDescription></Group><Group><GroupID>1578</GroupID><GroupDescription>03.07.02 - Endobronchial Valve</GroupDescription></Group><Group><GroupID>1793</GroupID><GroupDescription>03.07.03 - Drainage Shunts, Peritineovenous</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>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>1798</GroupID><GroupDescription>03.08.07 - Complete Biomaterial Mesh</GroupDescription></Group><Group><GroupID>1691</GroupID><GroupDescription>03.08.09 - Plugs</GroupDescription></Group><Group><GroupID>1771</GroupID><GroupDescription>03.08.10 - Anastomosis Clip</GroupDescription></Group><Group><GroupID>1799</GroupID><GroupDescription>03.08.11 - Dynamic Wound Closure Devices</GroupDescription></Group><Group><GroupID>2964</GroupID><GroupDescription>03.10.01 - Personal Diabetes Manager</GroupDescription></Group><Group><GroupID>20002</GroupID><GroupDescription>03.10.02 - Personal Diabetes Manager with capability to automatically adjust the insulin delivery based on continuous glucose monitoring data</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>1664</GroupID><GroupDescription>04.02.08 - Repair, Self-Adhesive Membrane Sealant, Medium (&gt;10 to 50cm²)</GroupDescription></Group><Group><GroupID>1695</GroupID><GroupDescription>04.02.09 - Repair, Self-Adhesive Membrane Sealant, Large (&gt;50 to 100cm²)</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>2961</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>1690</GroupID><GroupDescription>04.05.05 - Accessories</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>1794</GroupID><GroupDescription>04.09.01 - Transducer</GroupDescription></Group><Group><GroupID>1796</GroupID><GroupDescription>04.10.01 - External Ventricular Drain</GroupDescription></Group><Group><GroupID>1696</GroupID><GroupDescription>05.01.01 - Inflatable</GroupDescription></Group><Group><GroupID>1786</GroupID><GroupDescription>05.01.02 - Permanently Adjustable</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>1800</GroupID><GroupDescription>05.03.01 - Urethral Stents</GroupDescription></Group><Group><GroupID>1801</GroupID><GroupDescription>05.03.02 - Prostatic Retractor</GroupDescription></Group><Group><GroupID>2971</GroupID><GroupDescription>05.03.03 - Radiofrequency (RF) Delivery Devices for Transurethral Water Vapour Ablation</GroupDescription></Group><Group><GroupID>2958</GroupID><GroupDescription>05.03.04 - Temporary Implant</GroupDescription></Group><Group><GroupID>1721</GroupID><GroupDescription>05.05.01 - Malleable</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>2950</GroupID><GroupDescription>05.07.05 - Rechargeable Pulse Generator</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>1269</GroupID><GroupDescription>06.01.01 - Ankle joint component</GroupDescription></Group><Group><GroupID>1219</GroupID><GroupDescription>06.01.02 - Sinus Tarsi Implant</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>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>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>1694</GroupID><GroupDescription>06.03.03 - Plates</GroupDescription></Group><Group><GroupID>1231</GroupID><GroupDescription>06.03.04 - Screws</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>1237</GroupID><GroupDescription>06.03.11 - External Fixateurs</GroupDescription></Group><Group><GroupID>2945</GroupID><GroupDescription>06.03.12 - Internal Fixator</GroupDescription></Group><Group><GroupID>1279</GroupID><GroupDescription>06.03.14 - Bone Cement</GroupDescription></Group><Group><GroupID>1241</GroupID><GroupDescription>06.03.15 - Bone Graft 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>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>1901</GroupID><GroupDescription>07.01.08 - Non-mesh, non-resorbable</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>1807</GroupID><GroupDescription>07.02.09 - Anatomical Biomodel</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>2968</GroupID><GroupDescription>07.03.04 - Subperiosteal</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>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>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>1812</GroupID><GroupDescription>08.01.03 - Single Chamber, Subcutaneous</GroupDescription></Group><Group><GroupID>20000</GroupID><GroupDescription>08.01.05 - Extravascular</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>2965</GroupID><GroupDescription>08.04.04 - Leadless pacemaker</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>1829</GroupID><GroupDescription>08.11.02 - Antibacterial Envelope</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>2181</GroupID><GroupDescription>08.13.03 - Left Atrial Appendage Closure</GroupDescription></Group><Group><GroupID>2962</GroupID><GroupDescription>08.14.01 - Implantable Cardiac Event Recorders</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>1832</GroupID><GroupDescription>08.16.01 - Remote Monitoring System</GroupDescription></Group><Group><GroupID>20001</GroupID><GroupDescription>08.16.02 - Implantable Cardiac Event Recorders</GroupDescription></Group><Group><GroupID>2641</GroupID><GroupDescription>08.17.01 - Transcatheter Aortic Valve Implantation</GroupDescription></Group><Group><GroupID>2952</GroupID><GroupDescription>08.17.02 - Mitral Valve Repair</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>2966</GroupID><GroupDescription>08.18.03 - Pulsed Field Ablation</GroupDescription></Group><Group><GroupID>2970</GroupID><GroupDescription>08.19.01 - Coronary Drug Coated Balloon Catheters</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>1815</GroupID><GroupDescription>09.02.04 - Rapid deployment aortic valve with dedicated single use tools</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>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>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>1790</GroupID><GroupDescription>09.08.02 - Surgical closure devices (atrial appendage)</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>1811</GroupID><GroupDescription>09.09.04 - Hybrid stent graft (unbranched)</GroupDescription></Group><Group><GroupID>2601</GroupID><GroupDescription>09.09.05 - Hybrid stent graft (Branched)</GroupDescription></Group><Group><GroupID>2957</GroupID><GroupDescription>09.09.06 - Straight Tube</GroupDescription></Group><Group><GroupID>1791</GroupID><GroupDescription>09.10.01 - Skeletal fixation, sternum</GroupDescription></Group><Group><GroupID>1819</GroupID><GroupDescription>09.11.01 - Ventricular Assist System</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>1824</GroupID><GroupDescription>09.12.01 - Pectus Bar</GroupDescription></Group><Group><GroupID>1825</GroupID><GroupDescription>09.12.02 - Stabilisers</GroupDescription></Group><Group><GroupID>1828</GroupID><GroupDescription>09.13.01 - Chordal Replacement Devices, fixed and adjustable</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>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>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>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>2967</GroupID><GroupDescription>10.11.01 - Drug-coated Balloon Catheter</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>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>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>1806</GroupID><GroupDescription>11.04.27 - Insert Orientation Spacer Ring</GroupDescription></Group><Group><GroupID>1820</GroupID><GroupDescription>11.04.28 - Acetabular Stem or equivalent</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>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>1378</GroupID><GroupDescription>12.08.03 - Uncemented, Polyethylene, Metal Backed</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>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>1816</GroupID><GroupDescription>13.02.08 - Sublaminar Cable</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>1826</GroupID><GroupDescription>13.06.05 - Rod, Percutaneous Controlled Expansion</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>1814</GroupID><GroupDescription>13.12.05 - Non Stackable Cage, other</GroupDescription></Group><Group><GroupID>1496</GroupID><GroupDescription>13.13.01 - Interspinous Fixation Device</GroupDescription></Group><Group><GroupID>1821</GroupID><GroupDescription>13.14.01 - Sacroiliac Joint Fixation Device</GroupDescription></Group><Group><GroupID>1823</GroupID><GroupDescription>13.15.01 - Annular closure/reconstruction device</GroupDescription></Group></Groups><SubGroups><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>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>6441</SubGroupID><SubGroupDescription>01.05.03.01 - at Schlemm's canal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6442</SubGroupID><SubGroupDescription>01.05.03.02 - external to Schlemm's canal</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>4145</SubGroupID><SubGroupDescription>02.01.02.01 - Initial</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4147</SubGroupID><SubGroupDescription>02.01.02.02 - Replacement</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>4154</SubGroupID><SubGroupDescription>02.01.05.01 - Stapes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4155</SubGroupID><SubGroupDescription>02.01.05.02 - Malleus</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>6521</SubGroupID><SubGroupDescription>02.01.05.05 - Active Middle Ear Implants</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>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>6061</SubGroupID><SubGroupDescription>03.01.03.01 - Gel 3ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6281</SubGroupID><SubGroupDescription>03.01.03.02 - Gel 10mL or Balloon</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4164</SubGroupID><SubGroupDescription>03.02.01.01 - Single Lumen</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4437</SubGroupID><SubGroupDescription>03.02.01.02 - Multiple Lumen</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5358</SubGroupID><SubGroupDescription>03.02.02.01 - Fixed Flow Rate</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5359</SubGroupID><SubGroupDescription>03.02.02.02 - Variable Flow Rate</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>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>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>7360</SubGroupID><SubGroupDescription>03.02.03.06 - Insulin Infusion Pump - accessories subsequent annual supply</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>6037</SubGroupID><SubGroupDescription>03.03.02.03 - Placement set</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5984</SubGroupID><SubGroupDescription>03.05.02.01 - Integrated Delivery System</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5985</SubGroupID><SubGroupDescription>03.05.02.02 - Delivery Catheter</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>6008</SubGroupID><SubGroupDescription>03.05.04.01 - Absorbable ≤50cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6009</SubGroupID><SubGroupDescription>03.05.04.02 - Absorbable 51 cm² – 75cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6010</SubGroupID><SubGroupDescription>03.05.04.03 - Absorbable &gt;75cm²</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>7345</SubGroupID><SubGroupDescription>03.05.05.06 - Powder &gt;6ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4218</SubGroupID><SubGroupDescription>03.06.01.01 - Non-reinforced Wall</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4234</SubGroupID><SubGroupDescription>03.06.01.02 - Reinforced Wall, Uncovered/Bare Metal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4235</SubGroupID><SubGroupDescription>03.06.01.03 - Reinforced Wall, Covered</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4237</SubGroupID><SubGroupDescription>03.06.03.02 - Reinforced Wall, Uncovered/Bare Metal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4238</SubGroupID><SubGroupDescription>03.06.03.03 - Reinforced Wall, Covered</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6025</SubGroupID><SubGroupDescription>03.06.03.04 - Biodegradable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6011</SubGroupID><SubGroupDescription>03.06.04.01 - Self-expanding metal, Covered</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4242</SubGroupID><SubGroupDescription>03.07.01.01 - Pleural</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4243</SubGroupID><SubGroupDescription>03.07.01.02 - Intraperitoneal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5489</SubGroupID><SubGroupDescription>03.07.01.03 - Biliary</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6000</SubGroupID><SubGroupDescription>03.07.01.04 - Para/Thoraceulesis</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6001</SubGroupID><SubGroupDescription>03.07.01.05 - Percutaneous</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7363</SubGroupID><SubGroupDescription>03.07.01.06 - Anal Fistula</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>4246</SubGroupID><SubGroupDescription>03.08.01.03 - Spray</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5433</SubGroupID><SubGroupDescription>03.08.01.04 - Gel/Liquid</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4247</SubGroupID><SubGroupDescription>03.08.02.01 - Adhesive ≤2ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4248</SubGroupID><SubGroupDescription>03.08.02.02 - Adhesive &gt;2-5ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4249</SubGroupID><SubGroupDescription>03.08.02.03 - Adhesive &gt;5ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4250</SubGroupID><SubGroupDescription>03.08.02.04 - Adhesive Accessory</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4251</SubGroupID><SubGroupDescription>03.08.02.05 - Adhesive Peristrips</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4252</SubGroupID><SubGroupDescription>03.08.02.06 - Pleurodesis Powder</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>5768</SubGroupID><SubGroupDescription>03.08.02.12 - Pleural Sealant</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4256</SubGroupID><SubGroupDescription>03.08.03.01 - Clips</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4257</SubGroupID><SubGroupDescription>03.08.03.02 - Clip Applier</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4258</SubGroupID><SubGroupDescription>03.08.03.03 - Clips with Disposable Applier</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4259</SubGroupID><SubGroupDescription>03.08.03.04 - Clip Reload Cartridge</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4260</SubGroupID><SubGroupDescription>03.08.03.05 - Sutures</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5490</SubGroupID><SubGroupDescription>03.08.03.06 - Ligating Bands with Disposable Applier</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5769</SubGroupID><SubGroupDescription>03.08.03.07 - Cinched suture applier</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6101</SubGroupID><SubGroupDescription>03.08.03.08 - Suture with cinch</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7361</SubGroupID><SubGroupDescription>03.08.03.10 - Laparoscopic Suturing Device</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4317</SubGroupID><SubGroupDescription>03.08.04.01 - Staples, Non-bone (Reload)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4318</SubGroupID><SubGroupDescription>03.08.04.02 - Staplers</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4319</SubGroupID><SubGroupDescription>03.08.04.03 - Staples, Reinforcer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4320</SubGroupID><SubGroupDescription>03.08.04.04 - Staples, Non-bone with Disposable Applier</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4331</SubGroupID><SubGroupDescription>03.08.04.05 - Tackers</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5988</SubGroupID><SubGroupDescription>03.08.04.06 - Suture Fasteners</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>5434</SubGroupID><SubGroupDescription>03.08.05.01 - ≤200cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5435</SubGroupID><SubGroupDescription>03.08.05.02 - 201-400cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5437</SubGroupID><SubGroupDescription>03.08.05.04 - &gt;600-&lt;2500cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5947</SubGroupID><SubGroupDescription>03.08.05.05 - ≥2500cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5438</SubGroupID><SubGroupDescription>03.08.06.01 - ≤200cm²</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>5503</SubGroupID><SubGroupDescription>03.08.06.04 - 601cm²-1000cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5505</SubGroupID><SubGroupDescription>03.08.06.05 - &gt;1000cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5491</SubGroupID><SubGroupDescription>03.08.07.01 - ≤200cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5492</SubGroupID><SubGroupDescription>03.08.07.02 - 201-400cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5493</SubGroupID><SubGroupDescription>03.08.07.03 - 401-600cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5494</SubGroupID><SubGroupDescription>03.08.07.04 - 601-800cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5495</SubGroupID><SubGroupDescription>03.08.07.05 - &gt;800cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4519</SubGroupID><SubGroupDescription>03.08.09.01 - Fistula Closure</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5499</SubGroupID><SubGroupDescription>03.08.11.01 - Closure Set</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5500</SubGroupID><SubGroupDescription>03.08.11.02 - Extension Kit</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4468</SubGroupID><SubGroupDescription>04.03.01.01 - Valve, Externally Adjustable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4469</SubGroupID><SubGroupDescription>04.03.01.02 - Valve, Non-externally adjustable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5978</SubGroupID><SubGroupDescription>04.03.01.03 - Valve and gravitational unit, externally adjustable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4470</SubGroupID><SubGroupDescription>04.03.06.01 - Connector</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>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>4475</SubGroupID><SubGroupDescription>04.04.02.02 - Recharger</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>4478</SubGroupID><SubGroupDescription>04.04.05.01 - Burr Hole Cover</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4479</SubGroupID><SubGroupDescription>04.04.05.02 - Connectors and cables</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4498</SubGroupID><SubGroupDescription>04.04.05.03 - Intraoperative accessories</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4480</SubGroupID><SubGroupDescription>04.05.01.01 - Primary Cell Pulse Generator (non-rechargeable)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4481</SubGroupID><SubGroupDescription>04.05.01.02 - Rechargeable Pulse Generator</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4483</SubGroupID><SubGroupDescription>04.05.02.01 - Patient Programmer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4484</SubGroupID><SubGroupDescription>04.05.02.02 - Patient Programmer Antenna</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4485</SubGroupID><SubGroupDescription>04.05.02.03 - On/Off switching device</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4497</SubGroupID><SubGroupDescription>04.05.02.04 - Recharger</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5854</SubGroupID><SubGroupDescription>04.05.02.05 - External Neurostimulator</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4486</SubGroupID><SubGroupDescription>04.05.03.01 - Permanent Lead</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4487</SubGroupID><SubGroupDescription>04.05.03.02 - Trial Lead</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>5484</SubGroupID><SubGroupDescription>04.05.05.05 - Connectors and Cables</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4492</SubGroupID><SubGroupDescription>04.06.03.02 - Two piece</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4503</SubGroupID><SubGroupDescription>04.06.04.01 - Revision Kit</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5483</SubGroupID><SubGroupDescription>04.06.04.02 - Refill/Catheter Access Kits</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4493</SubGroupID><SubGroupDescription>04.07.01.01 - Implantable pulse generator</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5351</SubGroupID><SubGroupDescription>04.07.01.02 - Lead</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4495</SubGroupID><SubGroupDescription>04.08.03.02 - Coil detachment device</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6022</SubGroupID><SubGroupDescription>04.08.03.04 - Vascular embolisation balloon</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5306</SubGroupID><SubGroupDescription>05.01.01.01 - Pump</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5307</SubGroupID><SubGroupDescription>05.01.01.02 - Occlusive cuff</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5308</SubGroupID><SubGroupDescription>05.01.01.03 - Regulating Balloon</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5310</SubGroupID><SubGroupDescription>05.01.01.05 - Accessory kit</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5311</SubGroupID><SubGroupDescription>05.01.01.06 - System</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5450</SubGroupID><SubGroupDescription>05.01.02.01 - Single</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5451</SubGroupID><SubGroupDescription>05.01.02.02 - Double</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5987</SubGroupID><SubGroupDescription>05.01.02.03 - Port</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5314</SubGroupID><SubGroupDescription>05.01.03.01 - Male</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5315</SubGroupID><SubGroupDescription>05.01.03.02 - Female</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>5321</SubGroupID><SubGroupDescription>05.02.01.01 - Polyurethane</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5322</SubGroupID><SubGroupDescription>05.02.01.02 - Other synthetic</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5323</SubGroupID><SubGroupDescription>05.02.01.03 - Metal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5324</SubGroupID><SubGroupDescription>05.02.02.01 - Polyurethane</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5325</SubGroupID><SubGroupDescription>05.02.02.02 - Other synthetic</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5501</SubGroupID><SubGroupDescription>05.03.01.01 - Metal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5502</SubGroupID><SubGroupDescription>05.03.01.02 - Paediatric</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>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>5335</SubGroupID><SubGroupDescription>05.05.03.06 - Pump and cylinder</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7380</SubGroupID><SubGroupDescription>05.07.01.01 - Extended Battery Life</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5337</SubGroupID><SubGroupDescription>05.07.02.01 - Programmer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5518</SubGroupID><SubGroupDescription>05.07.02.02 - External Neurostimulator</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7367</SubGroupID><SubGroupDescription>05.07.02.03 - Recharger</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>5341</SubGroupID><SubGroupDescription>05.07.03.03 - Extension</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6036</SubGroupID><SubGroupDescription>05.07.03.04 - Trial kit including leads</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5342</SubGroupID><SubGroupDescription>05.07.04.01 - Implant/Revision Kits</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5343</SubGroupID><SubGroupDescription>05.07.04.02 - Foramen Needle</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5517</SubGroupID><SubGroupDescription>05.07.04.03 - Connectors and Cables</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>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>3261</SubGroupID><SubGroupDescription>06.01.02.01 - Metal</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>6021</SubGroupID><SubGroupDescription>06.01.03.04 - Stem extension</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>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>4050</SubGroupID><SubGroupDescription>06.02.01.06 - Tendon Spacer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7061</SubGroupID><SubGroupDescription>06.02.01.07 - Distal Radio-Ulnar Plate</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5530</SubGroupID><SubGroupDescription>06.02.02.05 - Thumb, carpometacarpal - proximal component</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6041</SubGroupID><SubGroupDescription>06.02.02.06 - Thumb, carpometacarpal - distal component</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6044</SubGroupID><SubGroupDescription>06.02.02.09 - Finger, metacarpophalangeal - proximal component</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6143</SubGroupID><SubGroupDescription>06.02.02.10 - Finger, metacarpophalangeal - distal component</SubGroupDescription></SubGroup><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>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>4052</SubGroupID><SubGroupDescription>06.02.03.07 - Accessories - bushing / insert / spool</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>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>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>5428</SubGroupID><SubGroupDescription>06.02.06.06 - Definition screw / Locking Screw</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4086</SubGroupID><SubGroupDescription>06.02.06.07 - Reverse humeral tray</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7378</SubGroupID><SubGroupDescription>06.02.06.08 - Spacer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3326</SubGroupID><SubGroupDescription>06.03.01.01 - Femoral, Proximal short (&lt;220mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3327</SubGroupID><SubGroupDescription>06.03.01.02 - Femoral, Proximal long (≥220mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3328</SubGroupID><SubGroupDescription>06.03.01.03 - Femoral, Distal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3329</SubGroupID><SubGroupDescription>06.03.01.04 - Tibial/Fibular</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3330</SubGroupID><SubGroupDescription>06.03.01.05 - Humeral</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3331</SubGroupID><SubGroupDescription>06.03.01.06 - Arthrodesis knee</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3332</SubGroupID><SubGroupDescription>06.03.01.07 - Arthrodesis ankle</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5360</SubGroupID><SubGroupDescription>06.03.01.08 - Flexible/paediatric</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5361</SubGroupID><SubGroupDescription>06.03.01.09 - Radial/Ulnar</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5362</SubGroupID><SubGroupDescription>06.03.01.10 - Dynamic distraction - electronic</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5474</SubGroupID><SubGroupDescription>06.03.01.11 - Arthrodesis Other</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6561</SubGroupID><SubGroupDescription>06.03.01.13 - Arthrodesis</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7362</SubGroupID><SubGroupDescription>06.03.01.14 - Calcaneal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3341</SubGroupID><SubGroupDescription>06.03.02.01 - Intramedullary nail lag screw</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>5363</SubGroupID><SubGroupDescription>06.03.02.04 - End caps and extension caps</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5255</SubGroupID><SubGroupDescription>06.03.03.01 - Standard (screw size ≥4.5mm)(including blade) ≤ 6 holes</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>5257</SubGroupID><SubGroupDescription>06.03.03.03 - Standard (screw size ≥4.5mm)(including blade) ≥ 16 holes</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>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>5261</SubGroupID><SubGroupDescription>06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes</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>5264</SubGroupID><SubGroupDescription>06.03.03.10 - Dynamic - Hip ≤ 6 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5265</SubGroupID><SubGroupDescription>06.03.03.11 - Dynamic - Hip ≥ 7 to ≤ 15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5266</SubGroupID><SubGroupDescription>06.03.03.12 - Dynamic - Hip ≥ 16 holes</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>5270</SubGroupID><SubGroupDescription>06.03.03.16 - Periarticular anatomic - Clavicle plate ≤ 6 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5271</SubGroupID><SubGroupDescription>06.03.03.17 - Periarticular anatomic - Clavicle plate ≥ 7 to ≤ 15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5272</SubGroupID><SubGroupDescription>06.03.03.18 - Periarticular anatomic - Clavicle plate ≥ 16 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5273</SubGroupID><SubGroupDescription>06.03.03.19 - Periarticular anatomic - Humerus ≤ 6 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5274</SubGroupID><SubGroupDescription>06.03.03.20 - Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5275</SubGroupID><SubGroupDescription>06.03.03.21 - Periarticular anatomic - Humerus ≥ 16 holes</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>5278</SubGroupID><SubGroupDescription>06.03.03.24 - Periarticular anatomic - Radius ≥ 16 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5279</SubGroupID><SubGroupDescription>06.03.03.25 - Periarticular anatomic - Ulna ≤ 6 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5280</SubGroupID><SubGroupDescription>06.03.03.26 - Periarticular anatomic - Ulna ≥ 7 to ≤ 15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5281</SubGroupID><SubGroupDescription>06.03.03.27 - Periarticular anatomic - Ulna ≥ 16 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5282</SubGroupID><SubGroupDescription>06.03.03.28 - Periarticular anatomic - Hand-phalangeal</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5283</SubGroupID><SubGroupDescription>06.03.03.29 - Periarticular anatomic - Pelvis ≤ 6 holes</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>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>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>5290</SubGroupID><SubGroupDescription>06.03.03.36 - Periarticular anatomic - Fibula ≥ 7 to ≤ 15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5291</SubGroupID><SubGroupDescription>06.03.03.37 - Periarticular anatomic - Fibula ≥ 16 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>5296</SubGroupID><SubGroupDescription>06.03.03.42 - Periarticular anatomic - Calcaneal ≥ 7 to ≤ 15 holes</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>5302</SubGroupID><SubGroupDescription>06.03.03.48 - Periarticular anatomic - Cable plate with integrated cables - 2 or less, ≤ 6 holes</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>5994</SubGroupID><SubGroupDescription>06.03.03.50 - Cable plate with 1 or more cables, ≤ 6 holes</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>3369</SubGroupID><SubGroupDescription>06.03.04.01 - Standard ( ≥4.5mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3370</SubGroupID><SubGroupDescription>06.03.04.02 - Small (2.71mm – 4.49mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3371</SubGroupID><SubGroupDescription>06.03.04.03 - Mini (2.01 – 2.7 mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3372</SubGroupID><SubGroupDescription>06.03.04.04 - Micro (≤ 2.0mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3373</SubGroupID><SubGroupDescription>06.03.04.05 - Dynamic</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3374</SubGroupID><SubGroupDescription>06.03.04.06 - Screw Washers</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>3732</SubGroupID><SubGroupDescription>06.03.04.10 - Screw Accessories - Caps</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5364</SubGroupID><SubGroupDescription>06.03.05.01 - Wires</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>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>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>5373</SubGroupID><SubGroupDescription>06.03.05.10 - Grooved Button for wires/cables</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5457</SubGroupID><SubGroupDescription>06.03.05.11 - Wedges</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5938</SubGroupID><SubGroupDescription>06.03.05.12 - Chest Wall Reconstruction Plates</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6181</SubGroupID><SubGroupDescription>06.03.05.13 - Chest Wall Reconstruction Plate Accessories</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5514</SubGroupID><SubGroupDescription>06.03.06.01 - Staples</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5382</SubGroupID><SubGroupDescription>06.03.07.01 - No suture (including arrows)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5384</SubGroupID><SubGroupDescription>06.03.07.02 - Suture, Small anchors (≤2.3mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5385</SubGroupID><SubGroupDescription>06.03.07.03 - Suture, Medium anchors (2.4 – 3.9mm)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5387</SubGroupID><SubGroupDescription>06.03.07.04 - Suture, Large anchors (≥4mm)</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>5391</SubGroupID><SubGroupDescription>06.03.07.07 - Interference Screw (± sleeve)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5394</SubGroupID><SubGroupDescription>06.03.07.08 - Screw/Pin/Post</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5398</SubGroupID><SubGroupDescription>06.03.08.02 - Non-biological</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7221</SubGroupID><SubGroupDescription>06.03.08.03 - Non-biological cartilage substitute</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3401</SubGroupID><SubGroupDescription>06.03.11.02 - Frame Complete - Monoplanar &amp; Modular Frames</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3402</SubGroupID><SubGroupDescription>06.03.11.03 - Frame Component - Monoplanar, Clamp</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3756</SubGroupID><SubGroupDescription>06.03.11.04 - Frame Component - Monoplanar, Body</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3404</SubGroupID><SubGroupDescription>06.03.11.05 - Frame Component - Monoplanar, Adaptor</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3405</SubGroupID><SubGroupDescription>06.03.11.06 - Frame Component - Full Circular Ring</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3406</SubGroupID><SubGroupDescription>06.03.11.07 - Frame Component - Partial Circular Ring</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3757</SubGroupID><SubGroupDescription>06.03.11.08 - Frame Component - Circular Coupling Device</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4505</SubGroupID><SubGroupDescription>06.03.11.09 - Frame Component - Circular Frame Strut Device</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>4513</SubGroupID><SubGroupDescription>06.03.11.17 - Articulating Hinge</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5508</SubGroupID><SubGroupDescription>06.03.11.18 - Upper body kit</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5509</SubGroupID><SubGroupDescription>06.03.11.19 - Lower body kit</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6401</SubGroupID><SubGroupDescription>06.03.11.20 - Simple fixture kit - Lower body (Uniplanar)</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7348</SubGroupID><SubGroupDescription>06.03.12.01 - Elbow</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>4095</SubGroupID><SubGroupDescription>06.03.15.04 - Ceramic, &gt;20cc</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>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>5399</SubGroupID><SubGroupDescription>06.03.16.01 - Metallic</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>5410</SubGroupID><SubGroupDescription>06.03.17.10 - Oncology Humeral Stem</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5411</SubGroupID><SubGroupDescription>06.03.17.11 - Humeral Ancharge Piece</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5412</SubGroupID><SubGroupDescription>06.03.17.12 - Humerus Extension Piece</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5414</SubGroupID><SubGroupDescription>06.03.17.14 - Humerus Connection Piece</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>5417</SubGroupID><SubGroupDescription>06.03.17.17 - Humerus Connecting Screw</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5418</SubGroupID><SubGroupDescription>06.03.17.18 - Humerus Hex Socket Bolt</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5419</SubGroupID><SubGroupDescription>06.03.17.19 - Plug Screw Axis</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5421</SubGroupID><SubGroupDescription>06.03.17.21 - Humeral Bearing</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5422</SubGroupID><SubGroupDescription>06.03.17.22 - Humeral Head/Cap</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5423</SubGroupID><SubGroupDescription>06.03.17.23 - Distal Humerus Flange</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>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>5464</SubGroupID><SubGroupDescription>06.03.17.30 - Humeral Shaft</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5465</SubGroupID><SubGroupDescription>06.03.17.31 - Humeral Intergral Shaft &amp; Stem Coated</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5467</SubGroupID><SubGroupDescription>06.03.17.33 - Humeral Component with Liner</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5468</SubGroupID><SubGroupDescription>06.03.17.34 - Humeral Component with Reattachment for use with Hemi Head</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5469</SubGroupID><SubGroupDescription>06.03.17.35 - Glenoid / Glensophere component</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5470</SubGroupID><SubGroupDescription>06.03.17.36 - Humeral Hemi-Head</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5475</SubGroupID><SubGroupDescription>06.03.17.37 - Femoral Stem - Uncemented</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5477</SubGroupID><SubGroupDescription>06.03.17.39 - Tibial Stem - Uncemented</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5479</SubGroupID><SubGroupDescription>06.03.17.41 - Valgus Sleeve</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>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>4231</SubGroupID><SubGroupDescription>07.01.02.13 - &gt;0.8mm thick, 11-25cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4232</SubGroupID><SubGroupDescription>07.01.02.14 - &gt;0.8mm thick, 26-50cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4233</SubGroupID><SubGroupDescription>07.01.02.15 - &gt;0.8mm thick, 51-100cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4496</SubGroupID><SubGroupDescription>07.01.02.16 - &gt;0.8mm thick, 101-200cm2</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4239</SubGroupID><SubGroupDescription>07.01.03.01 - 0.5-0.8mm thick, 1-25cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4240</SubGroupID><SubGroupDescription>07.01.03.02 - 0.5-0.8mm thick, 26-50cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4241</SubGroupID><SubGroupDescription>07.01.03.03 - &gt;0.8mm thick 26-50cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4253</SubGroupID><SubGroupDescription>07.01.04.01 - Resorbable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4254</SubGroupID><SubGroupDescription>07.01.04.02 - Polymer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4255</SubGroupID><SubGroupDescription>07.01.04.03 - Block</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4261</SubGroupID><SubGroupDescription>07.01.05.01 - &lt;0.5mm thick, &lt;4 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4263</SubGroupID><SubGroupDescription>07.01.05.02 - &lt;0.5mm thick, 4-7 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4265</SubGroupID><SubGroupDescription>07.01.05.03 - &lt;0.5mm thick, 8-15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4266</SubGroupID><SubGroupDescription>07.01.05.04 - &lt;0.5mm thick, 16-32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4267</SubGroupID><SubGroupDescription>07.01.05.05 - 0.5-0.99mm thick, &lt;4 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4271</SubGroupID><SubGroupDescription>07.01.05.06 - 0.5-0.99mm thick, 4-7 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4277</SubGroupID><SubGroupDescription>07.01.05.07 - 0.5-0.99mm thick, 8-32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4284</SubGroupID><SubGroupDescription>07.01.05.08 - 0.5-0.99mm thick, &gt;32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4286</SubGroupID><SubGroupDescription>07.01.05.09 - 1.0-1.99mm thick, &lt;4 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4288</SubGroupID><SubGroupDescription>07.01.05.10 - 1.0-1.99mm thick, 4-7 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4293</SubGroupID><SubGroupDescription>07.01.05.11 - 1.0-1.99mm thick, 8-15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4296</SubGroupID><SubGroupDescription>07.01.05.12 - 1.0-1.99mm thick, 16-32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4300</SubGroupID><SubGroupDescription>07.01.05.13 - 1.0-1.99mm thick, &gt;32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4301</SubGroupID><SubGroupDescription>07.01.05.14 - 2.0-2.99mm thick, 4-7 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4303</SubGroupID><SubGroupDescription>07.01.05.15 - 2.0-2.99mm thick, 8-15 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4307</SubGroupID><SubGroupDescription>07.01.05.16 - 2.0-2.99mm thick, 16-32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4310</SubGroupID><SubGroupDescription>07.01.05.17 - 2.0-2.99mm thick, &gt;32 holes</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>4314</SubGroupID><SubGroupDescription>07.01.05.20 - ≥3mm thick, 16-32 holes</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4321</SubGroupID><SubGroupDescription>07.01.06.01 - Diameter ≤1.24mm</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4323</SubGroupID><SubGroupDescription>07.01.06.02 - Diameter 1.25-3.24mm</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4332</SubGroupID><SubGroupDescription>07.01.07.01 - Pin</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4334</SubGroupID><SubGroupDescription>07.01.07.03 - Washer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4335</SubGroupID><SubGroupDescription>07.01.07.04 - Wedges and Burr Hole Covers</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4336</SubGroupID><SubGroupDescription>07.01.07.05 - Anchor Bone</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4337</SubGroupID><SubGroupDescription>07.01.07.06 - Clamps</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4338</SubGroupID><SubGroupDescription>07.01.07.07 - Screws</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4340</SubGroupID><SubGroupDescription>07.01.07.09 - Probe</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6201</SubGroupID><SubGroupDescription>07.01.08.01 - &lt;6cm2</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6202</SubGroupID><SubGroupDescription>07.01.08.02 - &gt;6cm2 - &lt;8cm2</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6203</SubGroupID><SubGroupDescription>07.01.08.03 - &gt;8cm2</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4343</SubGroupID><SubGroupDescription>07.02.02.01 - Complex</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4346</SubGroupID><SubGroupDescription>07.02.02.02 - Polymer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4348</SubGroupID><SubGroupDescription>07.02.02.03 - Composite</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5496</SubGroupID><SubGroupDescription>07.02.02.04 - Surgical Guide</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4349</SubGroupID><SubGroupDescription>07.02.03.01 - Helical Rim</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4350</SubGroupID><SubGroupDescription>07.02.03.02 - Ear Base</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4351</SubGroupID><SubGroupDescription>07.02.04.01 - Complex</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4352</SubGroupID><SubGroupDescription>07.02.04.02 - Polymer</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4353</SubGroupID><SubGroupDescription>07.02.05.01 - Mandible, Full</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4354</SubGroupID><SubGroupDescription>07.02.05.02 - Fossa Replacement</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4355</SubGroupID><SubGroupDescription>07.02.05.03 - Mandibular Angle</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4357</SubGroupID><SubGroupDescription>07.02.05.04 - Condylar Device</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4358</SubGroupID><SubGroupDescription>07.02.05.05 - Plate</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5498</SubGroupID><SubGroupDescription>07.02.05.07 - Surgical Guide</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5782</SubGroupID><SubGroupDescription>07.02.05.08 - Maxilla</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6741</SubGroupID><SubGroupDescription>07.02.05.09 - Hemi-mandible</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4360</SubGroupID><SubGroupDescription>07.02.06.01 - Nasal Dorsum</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>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>5783</SubGroupID><SubGroupDescription>07.02.06.07 - Zygoma Plate</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4366</SubGroupID><SubGroupDescription>07.02.07.01 - Complete Orbital Shape</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4367</SubGroupID><SubGroupDescription>07.02.07.02 - Orbital Floor</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>6023</SubGroupID><SubGroupDescription>07.02.07.05 - Surgical Guide</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4373</SubGroupID><SubGroupDescription>07.02.08.01 - Endosseous Implant</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4385</SubGroupID><SubGroupDescription>07.03.01.01 - Permanent</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4386</SubGroupID><SubGroupDescription>07.03.01.02 - Temporary</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4387</SubGroupID><SubGroupDescription>07.03.01.03 - Cover Screw/Cap</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4389</SubGroupID><SubGroupDescription>07.03.03.01 - Screws</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4390</SubGroupID><SubGroupDescription>07.03.03.02 - Plates</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4392</SubGroupID><SubGroupDescription>07.03.03.03 - Implants and Fixtures</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4393</SubGroupID><SubGroupDescription>07.03.03.04 - Graft Material &lt;0.5ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4394</SubGroupID><SubGroupDescription>07.03.03.05 - Graft Material 0.5ml-&lt;1.0ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4395</SubGroupID><SubGroupDescription>07.03.03.06 - Graft Material ≥1.0ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4396</SubGroupID><SubGroupDescription>07.04.01.01 - External Midface System</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4399</SubGroupID><SubGroupDescription>07.04.01.03 - Internal/Intraoral</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>4406</SubGroupID><SubGroupDescription>07.04.02.03 - Cross Bar/Rod</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4408</SubGroupID><SubGroupDescription>07.04.02.05 - Pin</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4409</SubGroupID><SubGroupDescription>07.04.02.06 - Screws</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4410</SubGroupID><SubGroupDescription>07.04.02.07 - External Distractor Component</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4411</SubGroupID><SubGroupDescription>07.04.02.08 - Body Extension</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4414</SubGroupID><SubGroupDescription>07.05.02.01 - Skin or Mammary</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>4422</SubGroupID><SubGroupDescription>07.05.03.04 - &gt;400cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4423</SubGroupID><SubGroupDescription>07.06.01.01 - &lt;500cc</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4426</SubGroupID><SubGroupDescription>07.06.01.02 - ≥500cc</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4429</SubGroupID><SubGroupDescription>07.06.02.01 - &lt;500cc</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4432</SubGroupID><SubGroupDescription>07.06.02.02 - ≥500cc</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5346</SubGroupID><SubGroupDescription>08.12.01.01 - General Purpose</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>7365</SubGroupID><SubGroupDescription>08.17.02.01 - Leaflet</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7349</SubGroupID><SubGroupDescription>08.18.01.01 - Irrigated Cardiac Ablation Catheter</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7350</SubGroupID><SubGroupDescription>08.18.01.02 - Patch</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7351</SubGroupID><SubGroupDescription>08.18.01.03 - Mapping Catheter</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7372</SubGroupID><SubGroupDescription>08.18.01.04 - Non-irrigated cardiac ablation catheter</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7375</SubGroupID><SubGroupDescription>08.18.01.05 - Intracardiac Electrophysiology Catheter</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>7379</SubGroupID><SubGroupDescription>08.18.03.01 - Ablation and Mapping Catheter</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5452</SubGroupID><SubGroupDescription>09.05.01.01 - &lt; 25cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5453</SubGroupID><SubGroupDescription>09.05.01.02 - 25-75cm²</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5454</SubGroupID><SubGroupDescription>09.05.01.03 - &gt;75cm²</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>7369</SubGroupID><SubGroupDescription>09.09.06.02 - 11-20cm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7370</SubGroupID><SubGroupDescription>09.09.06.03 - 21-49cm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7371</SubGroupID><SubGroupDescription>09.09.06.04 - ≥50cm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6028</SubGroupID><SubGroupDescription>09.11.02.01 - System Controller</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6030</SubGroupID><SubGroupDescription>09.11.02.03 - Battery Set</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6032</SubGroupID><SubGroupDescription>09.11.02.04 - Battery Clip Set</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6031</SubGroupID><SubGroupDescription>09.11.03.01 - Stabilisation Belt</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>6012</SubGroupID><SubGroupDescription>09.12.01.99 - No SubGroup</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6013</SubGroupID><SubGroupDescription>09.12.02.99 - No SubGroup</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7354</SubGroupID><SubGroupDescription>09.14.01.01 - Monopolar</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7355</SubGroupID><SubGroupDescription>09.14.01.02 - Bipolar</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7356</SubGroupID><SubGroupDescription>09.14.01.03 - System</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7358</SubGroupID><SubGroupDescription>09.14.02.01 - Probe</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7359</SubGroupID><SubGroupDescription>09.14.02.02 - System</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4439</SubGroupID><SubGroupDescription>10.01.01.01 - Balloon Expandable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4440</SubGroupID><SubGroupDescription>10.01.01.02 - Self Expandable, &lt;150mm</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4441</SubGroupID><SubGroupDescription>10.01.01.03 - Self Expandable, ≥150mm</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>7364</SubGroupID><SubGroupDescription>10.01.01.05 - Catheter with 4 or 6 stents</SubGroupDescription></SubGroup><SubGroup><SubGroupID>6562</SubGroupID><SubGroupDescription>10.01.02.01 - Self Expandable</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4442</SubGroupID><SubGroupDescription>10.02.01.01 - &lt;180mm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4443</SubGroupID><SubGroupDescription>10.02.01.02 - ≥180mm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4444</SubGroupID><SubGroupDescription>10.02.04.01 - Body and 2 limbs</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4445</SubGroupID><SubGroupDescription>10.02.04.02 - Body and 1 limb</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4446</SubGroupID><SubGroupDescription>10.02.04.03 - Body only</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5516</SubGroupID><SubGroupDescription>10.02.05.02 - Multiple Branch</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>4449</SubGroupID><SubGroupDescription>10.02.10.01 - ≤12mm diameter</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4450</SubGroupID><SubGroupDescription>10.02.10.02 - &gt;12mm diameter</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>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>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>4459</SubGroupID><SubGroupDescription>10.04.01.02 - 101 - 150 sq cm</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>5472</SubGroupID><SubGroupDescription>10.08.02.01 - ≤200mm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5473</SubGroupID><SubGroupDescription>10.08.02.02 - &gt;200mm length</SubGroupDescription></SubGroup><SubGroup><SubGroupID>4467</SubGroupID><SubGroupDescription>10.08.03.03 - 2ml</SubGroupDescription></SubGroup><SubGroup><SubGroupID>7041</SubGroupID><SubGroupDescription>10.08.05.02 - Cyanoacrylate</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5507</SubGroupID><SubGroupDescription>10.08.06.02 - Detachment Controller</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3939</SubGroupID><SubGroupDescription>11.01.01.01 - Unpolished</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>7374</SubGroupID><SubGroupDescription>11.01.01.04 - Polished and Unpolished, Modular</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>3946</SubGroupID><SubGroupDescription>11.01.03.02 - Beaded</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3947</SubGroupID><SubGroupDescription>11.01.03.03 - Mesh</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>3952</SubGroupID><SubGroupDescription>11.01.04.04 - Plasma</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3953</SubGroupID><SubGroupDescription>11.01.05.01 - Grit Blast</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3957</SubGroupID><SubGroupDescription>11.01.06.01 - Grit Blast</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3960</SubGroupID><SubGroupDescription>11.01.06.04 - Plasma</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3961</SubGroupID><SubGroupDescription>11.01.07.01 - Grit Blast</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3962</SubGroupID><SubGroupDescription>11.01.07.02 - Beaded</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3964</SubGroupID><SubGroupDescription>11.01.07.04 - Plasma</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>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>3974</SubGroupID><SubGroupDescription>11.01.09.04 - Plasma</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3975</SubGroupID><SubGroupDescription>11.01.09.05 - Unpolished and Polished</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3976</SubGroupID><SubGroupDescription>11.01.10.01 - Grit Blast</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3979</SubGroupID><SubGroupDescription>11.01.10.04 - Plasma</SubGroupDescription></SubGroup><SubGroup><SubGroupID>3988</SubGroupID><SubGroupDescription>11.02.01.01 - Stainless Steel</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>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>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>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>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>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>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>3929</SubGroupID><SubGroupDescription>12.08.03.02 - Moulded</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>3936</SubGroupID><SubGroupDescription>12.09.08.01 - Collar</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>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>4133</SubGroupID><SubGroupDescription>13.06.03.02 - Occipital</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>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>5487</SubGroupID><SubGroupDescription>13.11.01.01 - Cervical</SubGroupDescription></SubGroup><SubGroup><SubGroupID>5488</SubGroupID><SubGroupDescription>13.11.01.02 - 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></SubGroups><ProsthesisItems><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QHV01</BillingCode><Name>Valve and Valved Conduit</Name><SupplierCode>MAB</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>370980</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>10240</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV02</BillingCode><Name>Valve - Pulmonary</Name><SupplierCode>TBV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>236613</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>11223</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV50</BillingCode><Name>Pericardium</Name><SupplierCode>TBV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>236613</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2949</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SHV02</BillingCode><Name>Valve - Pulmonary</Name><SupplierCode>SHV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>246032</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>11421</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV01</BillingCode><Name>Valve - Aortic</Name><SupplierCode>TBV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>236613</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>11223</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QHV11</BillingCode><Name>Vascular Graft (Various)</Name><SupplierCode>MAB</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>370980</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4071</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QHV07</BillingCode><Name>Patch, Conduit and Pericardium</Name><SupplierCode>MAB</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>370980</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3195</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SHV03</BillingCode><Name>Conduit - Arterial</Name><SupplierCode>SHV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>246032</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4499</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV03</BillingCode><Name>Conduit - Pulmonary</Name><SupplierCode>TBV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>236613</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2423</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SHV01</BillingCode><Name>Valve - Aortic</Name><SupplierCode>SHV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>246032</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>11421</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV56</BillingCode><Name>Conduit - Aortic</Name><SupplierCode>TBV</SupplierCode><CategoryID>6</CategoryID><ARTGs><ARTG>236613</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2423</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC57</BillingCode><Name>Femoral Condyle Whole – Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC01</BillingCode><Name>Femoral Ring Super Critical CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA28</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤1.7mm, Dehydrated, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2777</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA15</BillingCode><Name>Patella Tendon with Pre-Shaped Bone Blocks</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3804</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA11</BillingCode><Name>Achilles Tendon with Bone Block</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3923</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA25</BillingCode><Name>Arch Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2089</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA07</BillingCode><Name>Cancellous Dowel Plug Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC55</BillingCode><Name>Morsellised Bone 2.5-5mg</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC87</BillingCode><Name>Demineralized Bone Fibres (FD) 5-9cc</Name><Size>5-9cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC49</BillingCode><Name>Cortical Segment (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA02</BillingCode><Name>Semitendinosus Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2910</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA51</BillingCode><Name>Posterior Tibialis Tendon Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC46</BillingCode><Name>Femoral Head – Hemi (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC61</BillingCode><Name>Hemipelvis – Segment (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC76</BillingCode><Name>Cortical – Demineralized Bone Matrix 5-10g/5-10cc</Name><Size>5-10g/5-10cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3100</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA27</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm²  ≥ 1.8mm, Dehydrated, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2733</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA23</BillingCode><Name>ENHANCE® Demineralized Cortical Fiber, 10cc, Dehydrated, Non-Irradiated</Name><Size>10cc</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3155</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC14</BillingCode><Name>Tibial Strut (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA19</BillingCode><Name>Cortical Plate (Frozen) various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA49</BillingCode><Name>Achilles Tendon, with Calcaneus, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3121</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA88</BillingCode><Name>Humerus – Shaft Super Critical Fluid CO2 Treated  (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA82</BillingCode><Name>HTO Wedge (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC08</BillingCode><Name>Femoral Head – Whole Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA83</BillingCode><Name>Cortical Sheet Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA19</BillingCode><Name>Achilles Tendon, with Shaped Bone Blocks, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4080</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA27</BillingCode><Name>Cancellous Block Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC37</BillingCode><Name>Cervical Spacers - Parallel Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC25</BillingCode><Name>Humerus – Strut Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC13</BillingCode><Name>Cancellous Cube (Freeze Dried) 3cm3 cubes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA15</BillingCode><Name>Femoral Condyle Half (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC95</BillingCode><Name>Moulded Demineralized Fibres (Small) </Name><Size>Small</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA39</BillingCode><Name>Bone Dowel / Plug (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA04</BillingCode><Name>Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1553</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA97</BillingCode><Name>Femur – Distal (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA95</BillingCode><Name>Tibial Shaft (Freeze Dried) - various sizes</Name><Size>See attached documents</Size><SupplierCode>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA39</BillingCode><Name>Menisci with Tibial Plateau, Frozen, Non-irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5807</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC85</BillingCode><Name>Engineered Cancellous Block with DBM Component (Various Sizes)</Name><Size>Various Sizes</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA12</BillingCode><Name>Evans Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2339</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA47</BillingCode><Name>Bone-Tendon-Bone, Hemi with Quadriceps, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3832</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC18</BillingCode><Name>Cortical Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC59</BillingCode><Name>Cervical Spacers - Parrallell (frozen) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC17</BillingCode><Name>Cortical Ring Super Critical Fluid CO2 Treated  (Frozen)  5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA92</BillingCode><Name>HTO Wedge – Super Critical Fluid CO2  Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA58</BillingCode><Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC34</BillingCode><Name>Femoral Condyle Whole (Frozen) Super Critical Fluid CO2 Treated</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA09</BillingCode><Name>Gracilis Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2222</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC56</BillingCode><Name>Cortical Ring (Frozen) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA08</BillingCode><Name>Fascia Lata [Small; Medium; Large pieces]</Name><Size>[Small; Medium; Large pieces]</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3923</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA24</BillingCode><Name>Femoral Head – Hemi (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC99</BillingCode><Name>Malleable Bone Segments</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2587</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA36</BillingCode><Name>Humerus – Shaft (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC48</BillingCode><Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC44</BillingCode><Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA30</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≥ 1.8mm, Hydrated, Non-Irradiated</Name><Size>≥ 25cm²  ≥ 1.8mm Thick</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299299</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3479</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA02</BillingCode><Name>Gracilis Tendon Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA01</BillingCode><Name>Ulna – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA01</BillingCode><Name>Cancellous Plug</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1718</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA75</BillingCode><Name>Humeral Head – Whole Super Critical Fluid CO2 Treated (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA34</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤25cm² ≥1.8mm, Hydrated, Non-Irradiated</Name><Size>≤25cm²   ≥1.8mm Thick</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299299</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3578</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC10</BillingCode><Name>Cortical Cancellous Block (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC30</BillingCode><Name>Femoral Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC52</BillingCode><Name>Tibia – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA68</BillingCode><Name>Cancellous Plug Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA06</BillingCode><Name>Anterior Tibialis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3624</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA46</BillingCode><Name>Femoral Strut (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC92</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 1-4g</Name><Size>1-4g</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC27</BillingCode><Name>Cancellous Dowel - Frozen - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4237</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA41</BillingCode><Name>Humerus – Proximal (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA13</BillingCode><Name>Patella Tendon with Bone Blocks - Whole</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3804</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC39</BillingCode><Name>Femoral Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA53</BillingCode><Name>Meniscus with Hemi Plateau, Medial, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5680</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA33</BillingCode><Name>Tibial Shaft Super Critical Fluid CO2  Treated  (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC97</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc </Name><Size>5-10g / 5-10cc </Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6193</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA73</BillingCode><Name>Radius – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA40</BillingCode><Name>Patella Bone-Tendon-Bone, Whole (Special) with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6150</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA89</BillingCode><Name>Cortical Segment (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</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><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA76</BillingCode><Name>Anterior Tibialis Tendon Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC77</BillingCode><Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 1-4cc</Name><Size>1-4cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV46</BillingCode><Name>Femoral Hemi-condyle</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2501</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA59</BillingCode><Name>Tibia – Distal (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA56</BillingCode><Name>Femur – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA10</BillingCode><Name>Achillies Tendon, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2971</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC62</BillingCode><Name>Femoral Head – Hemi Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA60</BillingCode><Name>Femoral Condyle Whole (Frozen) - various sizes</Name><Size>See attached documents</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC09</BillingCode><Name>HTO Wedge Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA16</BillingCode><Name>Humeral Head – Whole (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA51</BillingCode><Name>Posterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3350</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC63</BillingCode><Name>Cortical Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA65</BillingCode><Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated (Frozen) various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA43</BillingCode><Name>Quadriceps Tendon, without Bone Block, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3172</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA05</BillingCode><Name>Compressible Cancellous Block (FD)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC89</BillingCode><Name>Demineralized Bone Fibres (FZ) 5-9g</Name><Size>5-9g</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC51</BillingCode><Name>HTO Wedge (Freeze Dried) - Various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA09</BillingCode><Name>Peroneus Longus Tendon Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA21</BillingCode><Name>Patella Bone-Tendon-Bone, Whole with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5917</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA18</BillingCode><Name>Achilles Tendon, with Calcaneus, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3557</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC16</BillingCode><Name>Femur – Distal Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC28</BillingCode><Name>Cortical Segment Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA26</BillingCode><Name>Humerus – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA23</BillingCode><Name>Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC80</BillingCode><Name>Compressible Cancellous Strip (FZ)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC04</BillingCode><Name>Femoral Shaft (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA03</BillingCode><Name>Peroneus Longus Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3152</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA30</BillingCode><Name>Cancellous Dowel (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA15</BillingCode><Name>Milled Cancellous Chips, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1455</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA10</BillingCode><Name>Tibia – Distal Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA16</BillingCode><Name>Anterior Tibialis Tendon</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3125</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC43</BillingCode><Name>Morsellised Bone (Freeze Dried) Packs of 15 – 30cc</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA20</BillingCode><Name>Humerus – Strut (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC26</BillingCode><Name>Humeral Head – Whole Super Critical Fluid CO2 Treated, (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC93</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 5-9g</Name><Size>5-9g</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC06</BillingCode><Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Freeze Dried) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA34</BillingCode><Name>Tibia – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA20</BillingCode><Name>Patella Bone-Tendon-Bone, Hemi with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3540</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA13</BillingCode><Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA11</BillingCode><Name>Cancellous Cube (Frozen) 3cm3 cubes</Name><Size>See attached documents</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC82</BillingCode><Name>Freeze Dried Cortico-Cancellous Bone Granules 5-9cc</Name><Size>5-9cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA57</BillingCode><Name>Cortical Plate Super Critical Fluid CO2 Treated (Frozen) various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA45</BillingCode><Name>Cortical Cancellous Block (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA17</BillingCode><Name>ENHANCE® Demineralized Cortical Fiber, 2.5cc, Dehydrated, Non-Irradiated</Name><Size>2.5cc</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2446</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA57</BillingCode><Name>Meniscus for Interpositional Arthroplasty, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3067</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA07</BillingCode><Name>Pre-Shaped Hyaline Cartilage Segment</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA45</BillingCode><Name>Fascia Lata, ≤ 60cm², Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2110</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC45</BillingCode><Name>Femoral Condyle Whole (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA79</BillingCode><Name>Morsellised Bone (frozen) 15-30g</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA81</BillingCode><Name>Fibular Ring (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA31</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤ 1.7mm, Dehydrated, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2391</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA04</BillingCode><Name>Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA14</BillingCode><Name>Patella Quadriceps Tendon with Patellar Bone</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3902</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC35</BillingCode><Name>Cortical Segment Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA93</BillingCode><Name>Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA61</BillingCode><Name>Cortical Sheet (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA09</BillingCode><Name>Spinal Anterior Longitudonal Ligament Patch</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4023</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA49</BillingCode><Name>Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC47</BillingCode><Name>Tibial Strut (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA08</BillingCode><Name>Gracilis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3281</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA37</BillingCode><Name>Cervical Spacers - Parrallel (Freeze Dried) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC33</BillingCode><Name>Hemipelvis – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC64</BillingCode><Name>Humerus – Distal Segment (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC31</BillingCode><Name>Tibia – Proximal (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC90</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 2-4cc</Name><Size>2-4cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA54</BillingCode><Name>Cortical Strut (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA29</BillingCode><Name>Tricortical Cancellous Wedge (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC19</BillingCode><Name>Morsellised Bone (Freeze Dried) Packs of 5 – 10cc</Name><Size>Please see attached documents</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA05</BillingCode><Name>Fibula – Whole Super Critical Fluid CO2 Treated (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA05</BillingCode><Name>Fascia Lata, ≥ 120cm²  ≤ 180cm², Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2400</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC03</BillingCode><Name>Femoral Ring Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC79</BillingCode><Name>Compressible Cancellous Strip (FD)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC40</BillingCode><Name>Cervical Spacers - Parallel Super Critical Fluid CO2Treated (Frozen)  5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA98</BillingCode><Name>Femoral Head – Whole (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA42</BillingCode><Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Frozen) 3cm3 cubes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA52</BillingCode><Name>Demineralized 80%Cortical/20%Cancellous Granules, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA03</BillingCode><Name>Femur – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA40</BillingCode><Name>Femur – Distal Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA12</BillingCode><Name>Achilles Tendon with Pre-Shaped Bone Block</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3923</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC98</BillingCode><Name>Cortical – Demineralized Bone Matrix 1-4g/1-4cc</Name><Size>1-4g/1-4cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2676</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA44</BillingCode><Name>Tibia – Distal (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC21</BillingCode><Name>Tibial Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC38</BillingCode><Name>Semitendonosis Tendon Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA50</BillingCode><Name>Achilles Tendon, without Calcaneus, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2992</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC60</BillingCode><Name>Achilles Tendon Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA02</BillingCode><Name>Cancellous Plug Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1593</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA01</BillingCode><Name>Semitendinosis, Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3591</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA74</BillingCode><Name>Cortical Ring (Freeze Dried)  5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA42</BillingCode><Name>Quadriceps Tendon, with Bone Block, Frozen, Non-Irradiated</Name><Size>various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3791</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA26</BillingCode><Name>Proximal Metatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2374</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA64</BillingCode><Name>Tendon Patch Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA08</BillingCode><Name>Cortical Sheet (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC65</BillingCode><Name>Femoral Ring (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA38</BillingCode><Name>Quadriceps Tendon, with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2900</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC88</BillingCode><Name>Demineralized Bone Fibres (FZ) 1-4g</Name><Size>1-4g</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC50</BillingCode><Name>Humerus – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA86</BillingCode><Name>Tendon Patch (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC86</BillingCode><Name>Demineralized Bone Fibres (FD) 2-4cc</Name><Size>2-4cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA28</BillingCode><Name>Fascia Lata Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA62</BillingCode><Name>Unicortical Cancellous Wedge (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD15</BillingCode><Name>Compressible Cancellous Strip (FZ)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA97</BillingCode><Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA24</BillingCode><Name>Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB07</BillingCode><Name>Tibial Strut</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD34</BillingCode><Name>Acellular Dermal Matrix &lt;25cm² Thickness &lt;2.5mm</Name><Size>&lt;25cm² Thickness &lt;2.5mm</Size><SupplierCode>ADD</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2036</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB87</BillingCode><Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA68</BillingCode><Name>Malleable Bone Segments Super Critical Fluid CO2Treated</Name><SupplierCode>ADD</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA05</BillingCode><Name>Tendon Patch Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB12</BillingCode><Name>Patella Tendon with Bone Blocks - Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB34</BillingCode><Name>Femoral Head – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA89</BillingCode><Name>Humerus – Distal Segment</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB79</BillingCode><Name>Tibia – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA75</BillingCode><Name>Anterior Tibialis Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD30</BillingCode><Name>Freeze Dried Cortico-Cancellous Bone Granules 5-9cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB94</BillingCode><Name>Morsellised Bone Super Critical Fluid CO2 Treated (5-9g)</Name><SupplierCode>ADD</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA14</BillingCode><Name>Morsellised Bone (10-20 cc/g)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB43</BillingCode><Name>Malleable Bone Segments</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD22</BillingCode><Name>Pre-Shaped Hyaline Cartilage Segment</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA29</BillingCode><Name>Humerus – Proximal Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA43</BillingCode><Name>Femoral Ring Super Critical CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA54</BillingCode><Name>Cancellous Cube</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB20</BillingCode><Name>Posterior Tibialis Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB02</BillingCode><Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB80</BillingCode><Name>Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB09</BillingCode><Name>Cervical Spacers - Lordotic (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</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>905</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>8000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB32</BillingCode><Name>Unicortical Cancellous Wedge (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB38</BillingCode><Name>Achilles Tendon with Pre-Shaped Bone Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA92</BillingCode><Name>Bone Dowel / Plug (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD27</BillingCode><Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB88</BillingCode><Name>Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC42</BillingCode><Name>Hemipelvis – Segment (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA04</BillingCode><Name>Peroneus Longus Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2420</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV39</BillingCode><Name>Meniscus with Ligaments</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3984</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV31</BillingCode><Name>Hemipelvis - Acetabulum</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5314</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA02</BillingCode><Name>Grafton Plus Demineralized Bone Matrix: Paste, 1-5cc</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA85</BillingCode><Name>Cortical Segment</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB59</BillingCode><Name>Fascia Lata</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB44</BillingCode><Name>Humerus – Shaft</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA77</BillingCode><Name>Cancellous Plug</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</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>3445</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB32</BillingCode><Name>Fibula - Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5790</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB77</BillingCode><Name>2-10g Milled Cancellous Bone (Various Grades), Frozen</Name><Size>Less than 15g</Size><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2741</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>8480</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB01</BillingCode><Name>Tendon - Achilles with/without bone block</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4054</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT21</BillingCode><Name>Femoral Hemi-condyle</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3528</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB69</BillingCode><Name>Tendon – Various small (Tibialis Posterior/Anterior, EHL, Gracilis, Semitendinosus, Peroneus longus)</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3327</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>3339</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>4075</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB43</BillingCode><Name>Humerus - Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4606</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB08</BillingCode><Name>Tibia – Whole or Half (Proximal/Distal) with/without Patella</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4037</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>1590</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>1685</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA37</BillingCode><Name>Humerus – Strut</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB08</BillingCode><Name>Femoral Condyle Half</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA57</BillingCode><Name>Gracilis Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD25</BillingCode><Name>Moulded Demineralized Fibres (Small)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD13</BillingCode><Name>Compressible Cancellous Block (FZ)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD40</BillingCode><Name>Acellular Dermal Matrix &gt;26cm² Thickness &gt;2.5mm</Name><Size>&gt;26cm² Thickness &gt;2.5mm</Size><SupplierCode>ADD</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6514</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA06</BillingCode><Name>Peroneus Longus Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD35</BillingCode><Name>Acellular Dermal Matrix &gt;26cm², Thickness &lt;2.5mm</Name><Size>&gt;26cm², Thickness &lt;2.5mm</Size><SupplierCode>ADD</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3257</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1908</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB91</BillingCode><Name>Fascia Lata Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA70</BillingCode><Name>Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB26</BillingCode><Name>Cortical Plate</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB28</BillingCode><Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated 5mm-9mm</Name><SupplierCode>ADD</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB18</BillingCode><Name>Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA63</BillingCode><Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA90</BillingCode><Name>Morsellised Bone (1-4 cc/g)</Name><SupplierCode>ADD</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB93</BillingCode><Name>Gracilis Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA25</BillingCode><Name>Patella Tendon with Bone Block – Whole with Quads</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB57</BillingCode><Name>Femoral Shaft</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA84</BillingCode><Name>Tibia – Distal</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD03</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 1-4g</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA88</BillingCode><Name>Tendon Patch</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA22</BillingCode><Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA83</BillingCode><Name>Tibial Shaft</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA23</BillingCode><Name>Femur – Whole</Name><SupplierCode>ADD</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB99</BillingCode><Name>Demineralized Bone Fibres (FZ) 1-4g</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB39</BillingCode><Name>HTO Wedge – Super Critical Fluid CO2  Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB56</BillingCode><Name>Morsellised Bone (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA81</BillingCode><Name>Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV33</BillingCode><Name>Hemipelvis - iliac crest</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4863</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV62</BillingCode><Name>Bone – Cancellous Bone Matrix Lyophilised 20cc</Name><Size>20cc</Size><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2966</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV42</BillingCode><Name>Tendon - Patellar with bone plugs</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB05</BillingCode><Name>Meniscus</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3340</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2036</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA84</BillingCode><Name>Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN12</BillingCode><Name>Bone, Cancellous Chips - 30cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV22</BillingCode><Name>Femur - Distal (Shaft &amp; Condyles)</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6673</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV12</BillingCode><Name>Bone - Milled 80cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4831</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN10</BillingCode><Name>Bone, Cancellous Chips - 15cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1250</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV28</BillingCode><Name>Fibula - Segment (6cm)</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1689</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA25</BillingCode><Name>Fibular Ring Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB15</BillingCode><Name>Humerus – Proximal</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA62</BillingCode><Name>Humeral Head – Whole</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB60</BillingCode><Name>Autologous Bone (Not Processed)</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1514</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT65</BillingCode><Name>Proximal Femur with Femoral Head</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>7778</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV05</BillingCode><Name>Tendon - Achilles</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2483</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV60</BillingCode><Name>Tendon - EHL</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4116</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB69</BillingCode><Name>Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV34</BillingCode><Name>Hemipelvis - Tricortical iliac wedge</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2241</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD09</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 2-4cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB98</BillingCode><Name>Hemi Patella Tendon with Bone Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV58</BillingCode><Name>Tendon - Semitendinosus</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4116</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA80</BillingCode><Name>Femoral Condyle Half – Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA07</BillingCode><Name>Anterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3029</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC20</BillingCode><Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Frozen) 5mm – 9mm</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC15</BillingCode><Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried) 3cm3 cubes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC81</BillingCode><Name>Freeze Dried Cortico-Cancellous Bone Granules 2-4cc</Name><Size>2-4cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2450</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC05</BillingCode><Name>Fibular Ring (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA32</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤1.7mm thick, Hydrated, Non- Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2391</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC54</BillingCode><Name>Cancellous Block (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA90</BillingCode><Name>Humerus – Distal Segment Super Critical Fluid CO2 Treated  (Frozen(</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA18</BillingCode><Name>Cancellous Block (Frozen) - various sizes</Name><Size>See attached documents</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA06</BillingCode><Name>Compressible Cancellous Block (FZ)</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD44</BillingCode><Name>Meniscus</Name><Size>one unit</Size><SupplierCode>ADD</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2895</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA95</BillingCode><Name>Achilles Tendon with Bone Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA72</BillingCode><Name>Cortical Strut</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB37</BillingCode><Name>Tibia – Proximal</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA21</BillingCode><Name>Femoral Strut</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA32</BillingCode><Name>Cervical Spacers - Parrallel</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD14</BillingCode><Name>Compressible Cancellous Strip (FD)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB64</BillingCode><Name>Anterior Tibialis Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA01</BillingCode><Name>Grafton Plus Demineralized Bone Matrix: Paste, 10cc</Name><SupplierCode>MI</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>2024-11-01</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>2024-11-01</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>1561</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB74</BillingCode><Name>Demineralised Bone Matrix 3-5cc, Freeze Dried</Name><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>2024-11-01</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>2024-11-01</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>2024-11-01</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>3512</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>4569</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB75</BillingCode><Name>Demineralised Bone Matrix 0.5-2cc, Freeze Dried</Name><Size>2g</Size><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2197</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA02</BillingCode><Name>Femoral Ring</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD12</BillingCode><Name>Compressible Cancellous Block (FD)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB52</BillingCode><Name>Femur – Distal</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA71</BillingCode><Name>Semitendonosis Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB92</BillingCode><Name>Achilles Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB74</BillingCode><Name>Patella Tendon with Pre-Shaped Bone Blocks</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD19</BillingCode><Name>Engineered Cancellous Block with DBM Component (Various Sizes)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA40</BillingCode><Name>Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA08</BillingCode><Name>Radius – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD36</BillingCode><Name>Acelluar Dermal Matrix &lt;25cm², Thickness &gt;2.5mm</Name><Size>&lt;25cm², Thickness &gt;2.5mm</Size><SupplierCode>ADD</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2505</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB27</BillingCode><Name>Achilles Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB83</BillingCode><Name>Humerus – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD16</BillingCode><Name>Patella Quadriceps Tendon with Patellar Bone</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB11</BillingCode><Name>Posterior Tibialis Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB86</BillingCode><Name>Morsellised Bone (5-9 cc/g)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA58</BillingCode><Name>Cervical Spacers - Lordotic</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA86</BillingCode><Name>Morsellised Bone – Super Critical Fluid CO2 Treated (1-4g)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD33</BillingCode><Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 1-4cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA09</BillingCode><Name>Femoral Condyle Half – Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD23</BillingCode><Name>Cortical – Demineralized Bone Matrix 1-4g/1-4cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD01</BillingCode><Name>Demineralized Bone Fibres (FZ) 5-9g</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB14</BillingCode><Name>HTO Wedge</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB78</BillingCode><Name>Femoral Ring Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB68</BillingCode><Name>Femur – Proximal</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB50</BillingCode><Name>Unicortical Cancellous Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA50</BillingCode><Name>Ulna – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA78</BillingCode><Name>Cervical Spacers - Parallel Super Critical Fluid CO2Treated 5mm-9mm</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV09</BillingCode><Name>Bone - Chips/cubes 40cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1770</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV65</BillingCode><Name>Tendon - Patella with Quadriceps</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4213</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>4322</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA73</BillingCode><Name>Tricortical Cancellous Wedge</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB97</BillingCode><Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB10</BillingCode><Name>Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA52</BillingCode><Name>Semitendonosis Tendon</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA79</BillingCode><Name>Humeral Head – Whole Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA36</BillingCode><Name>Cortical Ring</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA63</BillingCode><Name>Gracilis Tendon (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA41</BillingCode><Name>Posterior Tibialis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3499</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD18</BillingCode><Name>Pre-Shaped Cancellous/Cortical Block (Various Sizes)</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</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>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB05</BillingCode><Name>Fibula – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB76</BillingCode><Name>Cancellous Bone Block (Various Sizes, Custom), Frozen</Name><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>4760</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT25</BillingCode><Name>Fibula - Entire</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4322</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>3392</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ320</BillingCode><Name>Grafton DBF</Name><SupplierCode>MI</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>449685</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ321</BillingCode><Name>Grafton DBF</Name><SupplierCode>MI</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>449685</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>581</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ322</BillingCode><Name>Grafton DBF Inject</Name><SupplierCode>MI</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>449685</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>581</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ323</BillingCode><Name>Grafton DBF Inject</Name><SupplierCode>MI</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>449685</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD07</BillingCode><Name>Demineralized Bone Fibres (FD) 5-9cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA15</BillingCode><Name>Cortical Cancellous Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB96</BillingCode><Name>Hemipelvis – Whole</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA51</BillingCode><Name>Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA35</BillingCode><Name>Cancellous Plug Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB25</BillingCode><Name>Femur – Whole or Half (Proximal/Distal)</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4808</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT67</BillingCode><Name>Milled Bone 10g</Name><Size>10g</Size><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3902</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>4646</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV38</BillingCode><Name>Ligament - Medial</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3406</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>5853</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV10</BillingCode><Name>Bone - Chips/cubes 80cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3071</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC11</BillingCode><Name>Femoral Strut (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB89</BillingCode><Name>Cervical Spacers - Parrallel (Freeze Dried)</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB60</BillingCode><Name>Femoral Head – Hemi</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT30</BillingCode><Name>Hemipelvis - Complete</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8643</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA28</BillingCode><Name>Morsellised Bone (Freeze Dried) (6-10cc)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV14</BillingCode><Name>Cortical Strut</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1803</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA87</BillingCode><Name>Femoral Condyle Whole</Name><SupplierCode>ADD</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB37</BillingCode><Name>Hemipelvis - Part/Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>6173</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT44</BillingCode><Name>Tibia - Proximal with Patella &amp; Tendon</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6173</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT19</BillingCode><Name>Femoral Shaft/Tibial Shaft - Middle third</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB16</BillingCode><Name>Ulna - Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4182</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>4452</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA12</BillingCode><Name>Cortical Strut (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV11</BillingCode><Name>Bone - Milled 40cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3104</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV08</BillingCode><Name>Cancellous Wedge</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1783</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA08</BillingCode><Name>Grafton Demineralized Bone Matrix: Flex, &gt;5cc to 10cc</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN11</BillingCode><Name>Bone, Cancellous Granules - 15cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1250</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV20</BillingCode><Name>Ulna</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5125</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>3445</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2968</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB23</BillingCode><Name>Bone – Cortical Segment (Incl. Tibial and Femoral), Frozen</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3598</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD29</BillingCode><Name>Freeze Dried Cortico-Cancellous Bone Granules 2-4cc</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB19</BillingCode><Name>Cancellous Block</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD04</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 5-9g</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB35</BillingCode><Name>Fibular Ring</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD06</BillingCode><Name>Demineralized Bone Fibres (FD) 2-4cc</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD17</BillingCode><Name>Spinal Anterior Longitudonal Ligament Patch</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA14</BillingCode><Name>Brachymetatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2404</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD26</BillingCode><Name>Moulded Demineralized Fibres (Large)</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAB05</BillingCode><Name>Fibula – Half (Proximal/Distal)</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4047</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA77</BillingCode><Name>Femoral Condyle Whole Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD10</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 5-9cc</Name><SupplierCode>ADD</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV21</BillingCode><Name>Fascia Lata</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1870</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV17</BillingCode><Name>Cartilage - costal segments</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1214</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV37</BillingCode><Name>Humeral Head</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3205</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV48</BillingCode><Name>Tibia - Distal</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4030</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV36</BillingCode><Name>Humerus - Proximal</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4962</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB15</BillingCode><Name>Radius - Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3955</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>9756</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB45</BillingCode><Name>11-20g Milled Cancellous Bone (Various Grades), Frozen</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3018</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT68</BillingCode><Name>Milled Bone 20g</Name><Size>20g</Size><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>7805</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>318</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB48</BillingCode><Name>Tendon - Patella with bone block</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3798</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT20</BillingCode><Name>Femur - Proximal (shaft, trochanter, neck)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5210</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA55</BillingCode><Name>Fascia Lata,  ≥ 120cm² ≤ 180cm², Freeze-Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2259</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA55</BillingCode><Name>Femoral Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN13</BillingCode><Name>Bone, Cancellous Granules - 30cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV40</BillingCode><Name>Meniscus</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2466</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT17</BillingCode><Name>Femur - Distal (Shaft &amp; Condyles)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5210</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV24</BillingCode><Name>Femoral Shaft - Middle Third</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3967</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV30</BillingCode><Name>Fibular Shaft</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4058</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV57</BillingCode><Name>Tendon - Tibialis Anterior</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4116</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV06</BillingCode><Name>Tendon - Achilles with bone block</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4131</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN01</BillingCode><Name>Bone - Demineralised Bone Matrix, DBX Putty, 5cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2650</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV19</BillingCode><Name>Radius</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5508</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV35</BillingCode><Name>Humerus - Proximal with rotator cuff</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4771</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CSA01</BillingCode><Name>Femoral Head</Name><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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA05</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 5cc</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA03</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 15cc</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV26</BillingCode><Name>Femoral head</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4387</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV23</BillingCode><Name>Femur - Entire</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>10772</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV51</BillingCode><Name>Femur - Proximal with femoral head</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6451</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV44</BillingCode><Name>Tibia - Proximal 7-15cm</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4637</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV49</BillingCode><Name>Humerus - Distal</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4130</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA06</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 10cc</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN09</BillingCode><Name>DBX Putty - 2.5cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV52</BillingCode><Name>Bone - Cancellous Bone Matrix, Lyophilised 40cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3899</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV32</BillingCode><Name>Hemipelvis - Complete</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>11295</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV63</BillingCode><Name>Bone - Cancellous Bone Matrix Lyophilised 10cc</Name><Size>10cc</Size><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2504</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV27</BillingCode><Name>Fibula - Entire</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4978</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA14</BillingCode><Name>Hemi Patella Tendon with Bone Block (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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><Size>Various diameters and lengths:  6-8mm x 3-6cm Length  10-18 x 5.5cm Length</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2950</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA32</BillingCode><Name>Morsellised Bone – Super Critical Fluid CO2 Treated  Packs of 2.5gm – 5gm</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC36</BillingCode><Name>Malleable Bone Segments (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA38</BillingCode><Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA10</BillingCode><Name>Achilles Tendon</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3923</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA94</BillingCode><Name>Cortical Plate (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3680</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC07</BillingCode><Name>Cervical Spacers - Lordotic (Freeze Dried)  5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC83</BillingCode><Name>Freeze Dried Cortico-Cancellous Bone Granules 10-15cc</Name><Size>10-15cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA69</BillingCode><Name>Femoral Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA70</BillingCode><Name>Tibial Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC94</BillingCode><Name>Moulded Demineralized Fibres (Large) </Name><Size>Large</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3750</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA16</BillingCode><Name>Demineralized Cancellous Chips, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1449</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC78</BillingCode><Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc</Name><Size> 5-9cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA17</BillingCode><Name>Tibial Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA29</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤ 1.7mm, Hydrated, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2591</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC02</BillingCode><Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA21</BillingCode><Name>Tibia – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC58</BillingCode><Name>Humerus – Strut (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC96</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc </Name><Size>1-4g / 1-4cc </Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4376</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC75</BillingCode><Name>Pre-Shaped Cancellous/Cortical Block (Various Sizes)</Name><Size>Various</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA44</BillingCode><Name>Fascia Lata, ≥ 60cm² - ≤100cm² ≥, Freeze Dried, Non-Irradiated</Name><Size>2.5cm x 25cm  5cm x 15cm</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2714</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA54</BillingCode><Name>Fascia Lata, ≤ 60cm², Freeze Dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1821</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA56</BillingCode><Name>Meniscus with Hemi Plateau, Lateral, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6047</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA24</BillingCode><Name>Cotton Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2326</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC91</BillingCode><Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 5-9cc</Name><Size>5-9cc</Size><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA72</BillingCode><Name>Tibia – Distal Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC53</BillingCode><Name>Cervical Spacers - Lordotic (Frozen) 5mm – 9mm</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA66</BillingCode><Name>Morsellised Bone 7.5mg - 15mg</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA67</BillingCode><Name>Unicortical Cancellous Wedge  (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA46</BillingCode><Name>MPJ Arthrodesis Lengthening Graft Segment, Frozen, Non-Irradiated</Name><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2721</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA48</BillingCode><Name>Tricortical Cancellous Wedge – Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</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>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC23</BillingCode><Name>Malleable Bone Segments (Freeze Dried) various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA31</BillingCode><Name>Humerus – Distal Segment Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC84</BillingCode><Name>Semitendonosis Tendon</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3125</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCA03</BillingCode><Name>Unicortical Cancellous Block</Name><SupplierCode>NCA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1674</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC29</BillingCode><Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA50</BillingCode><Name>Humerus – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA87</BillingCode><Name>Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA36</BillingCode><Name>Patella Bone-Tendon-Bone, Hemi without Quadriceps, Frozen, Non-irradiated</Name><Size>Various</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4233</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA52</BillingCode><Name>Femur – Proximal (Freeze Dried) - various sizes</Name><Size>Please see attachments</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA43</BillingCode><Name>Femur – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA99</BillingCode><Name>Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA22</BillingCode><Name>ENHANCE® Demineralized Cortical Fiber, 5cc, Dehydrated, Non-Irradiated</Name><Size>5cc</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2845</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA11</BillingCode><Name>Revision Core, Various Sizes, Freeze Dried, Non-Irradiated</Name><Size>10-16mm Diameter  ≤36mm Length</Size><SupplierCode>LV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>299298</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2960</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC32</BillingCode><Name>Humerus – Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><Size>See attached documents</Size><SupplierCode>NCA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV61</BillingCode><Name>Tendon - Tibialis Posterior</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4116</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN02</BillingCode><Name>Bone - Demineralised Bone Matrix, DBX Putty, 10cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3400</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV54</BillingCode><Name>Bone - Demineralised Bone Matrix, Lyophilised 1-5cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2328</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA13</BillingCode><Name>Grafton Demineralized Bone Matrix: Flex, 2.5cm x 5cm</Name><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV41</BillingCode><Name>Patella</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2209</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV64</BillingCode><Name>Bone - Cancellous Bone Matrix Lyophilised 1 - 5cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1900</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV45</BillingCode><Name>Tibia - Proximal 16-25cm</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4489</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA19</BillingCode><Name>Cortical Sheet</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV55</BillingCode><Name>Bone - Demineralised Bone Matrix, Lyophilised 10cc</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3737</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV59</BillingCode><Name>Tendon - Peroneus Longus</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4116</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>RNB02</BillingCode><Name>Autologous Skull Flap</Name><SupplierCode>HAA</SupplierCode><CategoryID>3</CategoryID><ChangeExplanation>Change to Organisation
Institute transferred from </ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1470</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV47</BillingCode><Name>Tibia - Condyles only</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3217</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA16</BillingCode><Name>Peroneus Longus Tendon Super Critical Fluid CO2 Treated</Name><SupplierCode>ADD</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV07</BillingCode><Name>Bone Plug/Dowel - Cancellous</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1689</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN08</BillingCode><Name>DBX Putty - 1.00cc</Name><SupplierCode>MN</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1450</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV18</BillingCode><Name>Elbow - joint</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8867</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA66</BillingCode><Name>Morsellised Bone (Freeze Dried) (1-5cc)</Name><SupplierCode>ADD</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>2024-11-01</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>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV29</BillingCode><Name>Fibula - Segment (12cm)</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2264</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV25</BillingCode><Name>Femur - Proximal (shaft, trochanter, neck)</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6628</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>TBV43</BillingCode><Name>Rib (5cm)</Name><SupplierCode>TBV</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>238244</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1367</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>1908</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB27</BillingCode><Name>Femoral Head - Whole (Various Sizes), Frozen</Name><SupplierCode>MAB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>231769</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4051</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAB04</BillingCode><Name>Sclera - Patch</Name><SupplierCode>MAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>375315</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>434</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SAA02</BillingCode><Name>Cornea for Endothelial Keratoplasty</Name><SupplierCode>SAA</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>235477</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3525</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEM01</BillingCode><Name>Cornea</Name><SupplierCode>LEM</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>234997</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAB03</BillingCode><Name>Cornea - Lamellar </Name><SupplierCode>MAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>375315</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2610</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEM05</BillingCode><Name>Cornea Preloaded for Endothelial Keratoplasty</Name><Size>N/A -  DMEK tissue itself is 12 microns thick and trephined to 8mm</Size><SupplierCode>LEM</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>234997</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC74</BillingCode><Name>Cornea for Endothelial Keratoplasty</Name><SupplierCode>NCA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC73</BillingCode><Name>Cornea For Lamellar</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAB01</BillingCode><Name>Cornea for Endothelial Keratoplasty</Name><Size>Variable</Size><SupplierCode>MAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>375315</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3777</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEM02</BillingCode><Name>Sclera</Name><SupplierCode>LEM</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>234997</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SAA03</BillingCode><Name>Sclera</Name><SupplierCode>SAA</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>235477</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>300</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QEB02</BillingCode><Name>Sclera – Whole</Name><SupplierCode>MAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>375315</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>650</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC72</BillingCode><Name>Sclera</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SAA01</BillingCode><Name>Cornea</Name><SupplierCode>SAA</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>235477</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2950</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC71</BillingCode><Name>Cornea</Name><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEM04</BillingCode><Name>Cornea for Endothelial Lamellar Keratoplasty</Name><SupplierCode>LEM</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>234997</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LAB01</BillingCode><Name>FROZEN CORNEA</Name><Size>one corneo-scleral disc - frozen</Size><SupplierCode>LAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>239107</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>550</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QEB01</BillingCode><Name>Cornea</Name><SupplierCode>MAB</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>375315</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3161</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD39</BillingCode><Name>Acellular Dermal Matrix &gt; 300cm²</Name><Size>&gt; 300cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>23569</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD42</BillingCode><Name>Acellular Dermal Matrix 61 to 120cm² Dermal Matrix 61 to 120cm²</Name><Size>61cm² to 120cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5428</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD38</BillingCode><Name>Acellular Dermal Matrix 26 to 60cm²</Name><Size> 26 to 60cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3257</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD37</BillingCode><Name>Acellular Dermal Matrix &lt;25cm²</Name><Size>&lt;25cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2036</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD41</BillingCode><Name>Acellular Dermal Matrix 121 to 180cm²</Name><Size>121 to 180cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8142</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC66</BillingCode><Name>Skin</Name><Size>&lt;50 cm²</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD43</BillingCode><Name>Acellular Dermal Matrix 181 to 300cm²</Name><Size>181 to 300cm²</Size><SupplierCode>ADD</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>408663</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>13028</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC68</BillingCode><Name>Skin</Name><Size>81 to 110 cm²</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC70</BillingCode><Name>Skin</Name><Size>151 to 200 cm²</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC69</BillingCode><Name>Skin</Name><Size>111 to 150 cm²</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN14</BillingCode><Name>Skin 121 to 180cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN06</BillingCode><Name>Skin 181 to 300cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN03</BillingCode><Name>Skin &lt; 25cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN04</BillingCode><Name>Skin 26 to 60cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC67</BillingCode><Name>Skin</Name><Size>51 to 80 cm²</Size><SupplierCode>NCA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN05</BillingCode><Name>Skin 61 to 120cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN07</BillingCode><Name>Skin &gt; 300cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>MN</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>27000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QBB73</BillingCode><Name>Skin 50-200cm² (graft from human origin, multiple sizes), Frozen</Name><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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ433</BillingCode><PriorBillingCodes><PriorBillingCode>RC003</PriorBillingCode></PriorBillingCodes><Name>Ventilation Tubes - Collar Button</Name><Description>Teflon, w/o wire</Description><Size>1.10mm, 1.25mm, 1.50mm lumen</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC003
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>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>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>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>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ436</BillingCode><PriorBillingCodes><PriorBillingCode>RC007</PriorBillingCode></PriorBillingCodes><Name>Ventilation Tubes - Shepherd</Name><Description>Titanium, w/o wire</Description><Size>1.00mm, 1.25mm lumen</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC007
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BQ004</BillingCode><Name>Ventilation Tubes / Grommet</Name><Description>a) Tubingen Gold Type 
b) Tubingen Titanium Type 
c) T Tube 
d) Reuter Bobbin Type 
e) Paparella Type
f) Collar Button Type 
g) Star Tube 
h) Bevel Buttton Tube
i) Straight Tube 
j) Armstrong Type 
k) Shepard Type 
l) Donaldson Type
m) Angular Type
n) Myringotomy Tube with Trocar
o) Ventilation Tubes with Eyelets
p) Minimal Type</Description><Size>a) I.D.  1.25mm w/w, I.D.1.25mm wo/w, I.D. 1.5mm wo/w 
b) one size only 
c) L- 6, 7.5, 12 
d) I.F.O.D 2.5mm, 2.7mm 
e) one size only  
f) one side only 
g) one size only 
h) one size only 
i) i.d.-0.9mm,1.1mm,1.15mm 
j) L-3.8mm, 3.7mm, 10mm 
k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t 
l) S- one size only, F one size only
m) one size only
n) Silver or Titanium
o) one or two
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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ435</BillingCode><PriorBillingCodes><PriorBillingCode>RC006</PriorBillingCode></PriorBillingCodes><Name>Ventilation Tubes - Shepherd</Name><Description>Teflon, w or w/o wire</Description><Size>1.15mm lumen</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC006
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ437</BillingCode><PriorBillingCodes><PriorBillingCode>RC009</PriorBillingCode></PriorBillingCodes><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>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC009
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>126695</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ434</BillingCode><PriorBillingCodes><PriorBillingCode>RC004</PriorBillingCode></PriorBillingCodes><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>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC004
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ432</BillingCode><PriorBillingCodes><PriorBillingCode>RC002</PriorBillingCode></PriorBillingCodes><Name>Ventilation tube</Name><Description>Ventilation tube - Silicone - T-tube, T-tube grommet</Description><Size>1.1mm; 1.27mm lumen</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC002
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ309</BillingCode><Name>KURZ Ventilation Tubes / Grommet</Name><Description>KURZ Ventilation Tube Tuebingen Type Gold Platinum, 1.25mm / Size 1 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Gold Platinum, 1.25mm / Size 1 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Gold Platinum, 1.50mm / Size 2 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Gold Platinum, 1.50mm / Size 2 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Gold-plated Ag, 1.25mm / Size 1 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Gold-plated Ag, 1.25mm / Size 1 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Gold-plated Ag, 1.50mm / Size 2 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Gold-plated Ag, 1.50mm / Size 2 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Titanium, 1.25mm / Size 1 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Titanium, 1.25mm / Size 1 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Titanium, 1.50mm / Size 2 MR Conditional
KURZ Ventilation Tube Tuebingen Type with Retention Wire Titanium, 1.50mm / Size 2 MR Unsafe
KURZ Ventilation Tube Tuebingen Type Titanium, 1.00mm / Size 0 MR Conditional
KURZ Ventilation Tube Beveled Type Gold Platinum, 0.75mm / Size 0 MR Conditional
KURZ Ventilation Tube Beveled Type Gold Platinum, 1.25mm / Size 1 MR Conditional
KURZ Ventilation Tube Beveled Type Gold Platinum, 1.50mm / Size 2 MR Conditional
KURZ Ventilation Tube Long-Term, 1 Eye Gold Platinum, 1.50mm MR Conditional
KURZ Ventilation Tube Long-Term, 2 Eyes Gold Platinum, 1.50mm MR Conditional
KURZ Ventilation Tube Minimal Gold-plated Ag, 0.60mm MR Unsafe
KURZ Ventilation Tube Trocar Gold-plated Silver, 1.25mm / Size 1 MR Conditional
KURZ Ventilation Tube Trocar Titanium, 1.25mm / Size 1 MR Conditional</Description><Size>0.60mm, 0.75mm, 1.00mm, 1.25mm, 1.50mm</Size><SupplierCode>UP</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>345901</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ722</BillingCode><Name>Osia 2 Sound Processor Kit</Name><Description>Osia 2 replacement sound processor with 2-way digital link, compatible with the OSI200 implant of the Osia System.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>2960</GroupID><Suffix>2-way digital link</Suffix><ARTGs><ARTG>375450</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>6808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ642</BillingCode><Name>Osia System</Name><Description>Piezoelectric bone conduction implant system consisting of: the OSI300 implant with piezoelectric transducer, osseointegrated titanium self-tapping BI300, the Osia 2(I) sound processor with 2-way digital link, surgical components and software, for hearing loss up to 55dB.
The improved Osia System features a magnet technology allowing magnetic resonance imaging at 1.5 and 3.0 Tesla without the use of a splint kit or magnet removal.</Description><Size>OSI300 implant: One size, BI300: 3mm and 4mm, Osia 2(I) sound processor: One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>2960</GroupID><ARTGs><ARTG>305024</ARTG><ARTG>124177</ARTG><ARTG>355711</ARTG><ARTG>444959</ARTG><ARTG>375452</ARTG><ARTG>305019</ARTG><ARTG>375451</ARTG><ARTG>444958</ARTG><ARTG>292265</ARTG><ARTG>123984</ARTG><ARTG>304387</ARTG><ARTG>358293</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>14369</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO089</BillingCode><Name>Osia System</Name><Description>Piezoelectric bone conduction implant system consisting of: the Osia implant with piezoelectric transducer, osseointegrated titanium self-tapping BI300, the Osia sound processor with 2-way digital link, surgical components and software, for hearing loss up to 55dB.</Description><Size>Osia implant: One size  BI300: 3mm and 4mm  Osia sound processor: One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>2960</GroupID><ARTGs><ARTG>389472</ARTG><ARTG>305019</ARTG><ARTG>375450</ARTG><ARTG>375451</ARTG><ARTG>305024</ARTG><ARTG>358293</ARTG><ARTG>304387</ARTG><ARTG>355711</ARTG><ARTG>123984</ARTG><ARTG>124177</ARTG></ARTGs><MinimumBenefit>14369</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>389013</ARTG><ARTG>389012</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>389475</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>389476</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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:
EVO (atraumatic) Insertion length 25mm 
CLA (classic) Insertion length 26mm</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>284150</ARTG><ARTG>284148</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>389477</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>389471</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>389667</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>389051</ARTG><ARTG>389052</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>389693</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>389668</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ215</BillingCode><Name>LATERA Nasal Implant System</Name><Description>The LATERA Absorbable Nasal Implants supports the upper and lower lateral cartilage by anchoring above the maxilla to provide cantilever support. Two implants are provided. The LATERA delivery device is specifically designed and intended to deliver the LATERA absorbable nasal implant in the lateral nasal wall.</Description><Size>24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>197</SubCategoryID><GroupID>2969</GroupID><ARTGs><ARTG>346524</ARTG><ARTG>389271</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ462</BillingCode><PriorBillingCodes><PriorBillingCode>RC013</PriorBillingCode></PriorBillingCodes><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>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>197</SubCategoryID><GroupID>1568</GroupID><ARTGs><ARTG>338464</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC013
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC264</BillingCode><Name>Septal Button </Name><Description>Silicone</Description><Size>3cm </Size><SupplierCode>MI</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>2024-11-01</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.

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.

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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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
b) 17, 20, 22.5fr in 4, 6, 8, 10, 12.5, 15mm
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>2024-11-01</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>2024-11-01</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 
Advantage: 20 French diameter 6-14mm 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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>248</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI007</BillingCode><Name>Aerstent</Name><Description>Nitinol Self Expanding Tracheal and Bronchial Stent. Nitinol Mesh, Silicone </Description><Size>Straight, J or Y Shaped, (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>1814</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI008</BillingCode><Name>GSS &amp; Dumon</Name><Description>Silicone tracheal and bronchial stents, Straight and Y Shape</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>2024-11-01</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><MinimumBenefit>1057</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>269</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>119736</ARTG><ARTG>119737</ARTG></ARTGs><MinimumBenefit>425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>8090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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  Gastric tube: 16 Fr, 100 cm</Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>405292</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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 
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>2024-11-01</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   Gastric decompression lumen: 16 Fr, length 95 cm  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>405292</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>94734</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER683</BillingCode><Name>RapidPort EZ Access Port Kit (replacement port)</Name><Description>Access Port Kit for LAP-BAND RapidPort EZ system, inclusive of accessories, i.e: needle-Band priming; needle- access port flushing (5”); molded end plug- Lap-Band; connector, tubing; tubin-silicone, 6% BaSO4; access port needle (3.5”).  </Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>375519</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ008</BillingCode><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>379010</ARTG></ARTGs><MinimumBenefit>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ009</BillingCode><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>Regular, large and extra large</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>379010</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ832</BillingCode><Name>Swedish Adjustable Gastric Band</Name><Description>Silicone</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>94766</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>94766</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER682</BillingCode><Name>ReShape Lap-Band AP with RapidPort EZ</Name><Description>Lap-Band AP with RapidPort EZ-small or large, inclusive of accessories, i.e.: needle for band priming; needle for access port flushing (5”); moulded end plug- Lap-Band; connector tubing; access port needle (3.5”).  </Description><Size>small/large</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>375520</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>286</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX348</BillingCode><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><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN234</BillingCode><Name>Surgicel Powder</Name><Description>Absorbable Haemostatic Powder</Description><Size>3.0grams</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>296463</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AB083</BillingCode><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><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX346</BillingCode><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><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>107</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
60mm x 40mm x 4mm
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>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW582</BillingCode><Name>NasoPore</Name><Description>Nasopore is intended for use in patients undergoing nasal/sinus surgery as a temporary wound dressing to provide tissue support, minimise edema and prevent adhesion formation between mucosal surfaces. This is necessary to prevent some of the most common complications after FESS i.e., lateralization of the middle turbinate, synechiae (adhesions) or restenosis which leads to occlusion of the sinus drainage pathway. It should only be used by physicians who have received appropriate training in treating nasal cavity disorders.</Description><Size>4cm and 8cm</Size><SupplierCode>JV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1797</GroupID><ARTGs><ARTG>274616</ARTG></ARTGs><MinimumBenefit>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET101</BillingCode><Name>ARCHIMEDES Biodegradable Pancreaticobiliary Stent</Name><Description>A polymeric stent with a fluted, cross-sectional profile and containing two channels which spiral in a double helix down the length of the stent. The Archimedes BPS is designed to fit the natural curvature of the common bile duct and pancreatic duct. The ends of the Archimedes are tapered to allow insertion through the papilla. The Archimedes comes in three degradation profiles of slow, medium, and fast. The minimal strength retention time of the Archimedes BPS is 11 weeks, 20 days, and 12 days respectively.</Description><Size>Stent Diameters: 2.0mm, 2.6mm, 3.4mm. Stent Length: 40mm, 60mm, 80mm, 100mm, 125mm, 150mm, 175mm, 200mm, 225mm.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><Suffix>Biodegradable</Suffix><ARTGs><ARTG>335504</ARTG><ARTG>335505</ARTG><ARTG>335506</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>2762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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.
Delivery System in form of a pusher (short wire or long wire system specific).
</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ345</BillingCode><PriorBillingCodes><PriorBillingCode>LM080</PriorBillingCode></PriorBillingCodes><Name>Neurolac</Name><Description>A bioresorbable tension-less Nerve repair guide</Description><Size>1.5mm x 3cm to 10.0mm x 3cm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1564</GroupID><ARTGs><ARTG>139653</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM080
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VQ002</BillingCode><Name>Remplir</Name><Description>A resorbable collagen barrier membrane intended for use in peripheral nerve repair.</Description><Size>15mm x 20mm, 20mm x 30mm, 30mm x 40mm, 40mm x 50mm</Size><SupplierCode>VQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1564</GroupID><ARTGs><ARTG>385752</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ344</BillingCode><PriorBillingCodes><PriorBillingCode>LM335</PriorBillingCode></PriorBillingCodes><Name>Nerve Capping Device</Name><Description>A peripheral bioresorbable nerve capping device</Description><Size>30mm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1564</GroupID><ARTGs><ARTG>285368</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM335
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER283</BillingCode><Name>AnastoClip GC</Name><Description>AnastoClip GC</Description><Size>Medium
Large
Extra Large
Medium, with long applier
Large, with long applier
Extra Large, with long applier</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1771</GroupID><ARTGs><ARTG>278601</ARTG></ARTGs><MinimumBenefit>402</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>402</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA061</BillingCode><Name>Bard Mesh </Name><Description>PerFix Plug, PerFix Light Plug </Description><Size>Small, Medium, Large, Extra Large</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1691</GroupID><ARTGs><ARTG>394752</ARTG><ARTG>400494</ARTG></ARTGs><MinimumBenefit>238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>II001</BillingCode><Name>Omnipod DASH® Insulin Management System - Personal Diabetes Manager (PDM) &amp; Software only</Name><Description>An insulin pump system for the continuous subcutaneous delivery of insulin at set and variable rates that receives and stores external glucose information via a rechargeable Personal Diabetes Manager (PDM). The PDM wirelessly activates/deactivates, controls, directs and monitors operation of a tubeless wearable waterproof Pod via secure Bluetooth Low Energy communication, as well as serves as a bolus calculator. The PDM provides audio alarms, alerts and reminders related to insulin delivery and the Pod. The PDM handles all processes for operation of the system and displays up to 90 days of information including basal rates, bolus doses, carbohydrates, alarms and blood glucose entries that are entered manually from any BGM meter. </Description><Size> The Personal Diabetes Manager (PDM)  is 6.3 cm wide x 13.0 cm long x 1.0 cm high) and weighs 106grams.                                                                                                                                                                                                                                           </Size><SupplierCode>II</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>294</SubCategoryID><GroupID>2964</GroupID><ARTGs><ARTG>344290</ARTG></ARTGs><Note>The benefit for the device is payable no more frequently than once every 4 years.</Note><MinimumBenefit>8077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU029</BillingCode><Name>CrownGel</Name><Description>CrownGel is an isotonic, clear, viscoelastic and sterile solution for intraocular application. As an auxiliary device during surgery of the anterior segment of the eye, CrownGel maintains the depth of the anterior chamber and protects the surrounding intraocular tissue. CrownGel contains 2.0% hydroxypropyl methylcellulose and supports the intraocular manipulations due to its viscoelastic and moistening properties.</Description><Size>2.0% x 2.0mL</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>413441</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE787</BillingCode><Name>CAPSULGel</Name><Description>Isotonic, clear, viscoelastic and  sterile HPMC solution for intraocular application</Description><Size>2.0ml prefilled, single-use, glass syringe.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>383098</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN016</BillingCode><Name>AJL CELL</Name><Description>AJL CELL 2% is made up of 2% hydroxypropyl methylcellulose (HPMC) in a phosphate-buffered saline solution that is administered into the anterior chamber of the eye during intraocular surgery using a prepared sterile syringe and cannula suitable for the surgical technique.</Description><Size>2mL</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>413398</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO008</BillingCode><Name>HEALON PRO, Intraocular Viscoelastic Fluid</Name><Description>Sodium Hyaluronate 10mg/ml</Description><Size>0.55ml &amp; 0.85ml</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>413192</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ247</BillingCode><Name>OphteisBio 1.6</Name><Description>Viscoelastic solution for intraocular use - 1.6% sodium hyaluronate</Description><Size>1.1 mL</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>427855</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ223</BillingCode><Name>OphteisBio 3.0</Name><Description>Viscoelastic solution for intraocular use - 3.0% sodium hyaluronate</Description><Size>1.1mL</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>427865</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ235</BillingCode><Name>OphteisBio 1.8</Name><Description>Viscoelastic solution for intraocular use - 1.8% sodium hyaluronate</Description><Size>1.1 mL</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>427856</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ221</BillingCode><Name>Ophteis FR Pro</Name><Description>Viscoelastic solution for intraocular use - 2.0% sodium hyaluronate and 4.0% sorbitol</Description><Size>1.2 mL</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>427870</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO010</BillingCode><Name>Healon GV PRO Intraocular Viscoelastic Fluid</Name><Description>Sodium Hyaluronate 18mg/mL</Description><Size>0.85ml</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><Suffix>hmw</Suffix><ARTGs><ARTG>413673</ARTG></ARTGs><MinimumBenefit>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO009</BillingCode><Name>Healon 5 Pro, Intraocular Viscoelastic Fluid</Name><Description>HEALON 5 PRO 2.3% Sodium hyaluronate </Description><Size>0.6ml</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><Suffix>hmw</Suffix><ARTGs><ARTG>413672</ARTG></ARTGs><MinimumBenefit>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>193085</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP005</BillingCode><Name>AJL Blue</Name><Description>Trypan Blue STaining Dye</Description><Size>1 ml syringe</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>392390</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ027</BillingCode><Name>Vioron</Name><Description>Trypan blue dye for ophthalmic applications</Description><Size>0.5ml syringe</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>150061</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN015</BillingCode><Name>DyeBlue</Name><Description>Dyeblue is a sterile intraocular solution containing Trypan Blue without preservatives. Dyeblue is indicated for anterior capsule colouring during ophthalmic surgeries.</Description><Size>1 mL vial, 1.1 mL syringe  </Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>399953</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ532</BillingCode><Name>OCUBLU-TRY Trypan Blue</Name><Description>Ocublu-Try Trypan Blue is a sterile tissue dye for anterior segment surgery.</Description><Size>1mL</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>439255</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ328</BillingCode><Name>OCUBLU-TRY Trypan Blue</Name><Description>Ocublu-Try Trypan Blue is a sterile tissue dye for anterior segment surgery.</Description><Size>1mL</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>439255</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</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>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP004</BillingCode><Name>AJL Capsular Tension Ring</Name><Description>Preloaded PMAA Capsular Tension Ring</Description><Size>9mm, 10mm,11mm, 12mm (closed diameter) 10mm, 11mm, 12mm, 13mm, 14mm (open diameter)</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>392517</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</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>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>209</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE799</BillingCode><Name>Olie Medical (Sidapharm) Lacrimal Intubation Set</Name><Description>This disposable device consists of two stainless steel malleable probes (with or without olive tip) attached to a silicon tube.</Description><Size>23G, 17.5 cm, Straight tip    23G, 11.0 cm, Olive tip</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><ARTGs><ARTG>370527</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE795</BillingCode><Name>Micromed Microgas</Name><Description>Single dose high molecular weight gases for replacement of vitreous humor during retinal surgery  </Description><Size>50cc aluminium canister with dispenser</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>382032</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV270</BillingCode><Name>OcuGas </Name><Description>Tamponade gas for retinal surgery</Description><Size>OCUGAS SF6 (15 ml)  OCUGAS C2F6 (12 ml)  OCUGAS C3F8 (9 ml)</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>408427</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW007</BillingCode><PriorBillingCodes><PriorBillingCode>DE284</PriorBillingCode></PriorBillingCodes><Name>Single Dose Ophthalmic Gases</Name><Description>Single dose tamponading gas for retinal surgery</Description><Size>30ml</Size><SupplierCode>IW</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>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW008</BillingCode><PriorBillingCodes><PriorBillingCode>DE204</PriorBillingCode></PriorBillingCodes><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>IW</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>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW009</BillingCode><PriorBillingCodes><PriorBillingCode>DE205</PriorBillingCode></PriorBillingCodes><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>IW</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>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV244</BillingCode><Name>D.O.R.C. Eftiar</Name><Description>Eftiar Decaline and Octane</Description><Size>5ml, 7ml</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>408574</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV243</BillingCode><Name>D.O.R.C. Silicon Oil</Name><Description>D.O.R.C. Silicon Oil 1000/2000/5000-S</Description><Size>10ml</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>408427</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW005</BillingCode><PriorBillingCodes><PriorBillingCode>DE702</PriorBillingCode></PriorBillingCodes><Name>ARCIOLANE 1300</Name><Description>Silicone Oil for Vitreoretinal Surgery</Description><Size>10ml</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>171840</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP006</BillingCode><Name>AJL SIOBAL Silicon Oil</Name><Description>High-purity silicone oil used as tamponade agent for retinal detachment.  1000/2000/5000 cSt</Description><Size>10ml prefilled syringe</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>392371</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW006</BillingCode><PriorBillingCodes><PriorBillingCode>DE701</PriorBillingCode></PriorBillingCodes><Name>ARCIOLANE 5500</Name><Description>Silicone Oil for Vitreoretinal Surgery</Description><Size>10ml</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>171840</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI472</BillingCode><Name>Adkins and Pectus Struts</Name><Description>Pectus Bar, Stainless Steel or Titanium</Description><Size>80-432mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1824</GroupID><ARTGs><ARTG>149413</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>1193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE622</BillingCode><Name>Park Bridge Stabiliser</Name><Description>Stablisation of Pectus Bar - optional use for multiple bar placement</Description><Size>3 sizes: 6 hole - 60mm, 8 hole 80mm, 10 hole - 100mm</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1825</GroupID><ARTGs><ARTG>224584</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE623</BillingCode><Name>Park Claw Fixator, Clip and Nut Stabiliser</Name><Description>Stabilisation of Pectus Bar</Description><Size>Park Claw Fixator - Small (20mm x 12mm), Medium (23mm x 15mm), Large (25mm x 18mm), Extra Large (30mm x 18mm).
Fixator Clip - 15mm.
Nut - 7mm.</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1825</GroupID><ARTGs><ARTG>224584</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI483</BillingCode><Name>Pectus Bar</Name><Description>Stabilizer, Triangular or Elongated, Stainless Steel</Description><Size>One size only</Size><SupplierCode>ZA</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1825</GroupID><ARTGs><ARTG>149413</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE624</BillingCode><Name>Chord-X</Name><Description>ePTFE chordal repair</Description><Size>Five (5) loop lengths -(0mm/adjustable, 12mm, 16mm, 20mm and 24mm),
Two (2) sutures (2-0 ePTFE or 3-0 ePTFE),
Two (2) needle shapes (1/2 circle and 3/8 circle),
Two (2) needle lengths (18mm and 22mm).</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>265</SubCategoryID><GroupID>1828</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>262630</ARTG></ARTGs><MinimumBenefit>256</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ401</BillingCode><Name>HeartMate 3 Implant Kit</Name><Description>Left ventricular assist device</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1819</GroupID><ARTGs><ARTG>443219</ARTG><ARTG>300895</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>95000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ066</BillingCode><Name>AtriClip Left Atrial Appendage Exclusion System</Name><Description>Gillinov-Cosgrove LAA Clip for open occlusion of the left atrial appendage mounted on a disposable applier</Description><Size>35mm, 40mm, 45mm, 50mm,</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>251</SubCategoryID><GroupID>1790</GroupID><ARTGs><ARTG>308862</ARTG></ARTGs><MinimumBenefit>1097</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY688</BillingCode><Name>Sternal ZipFix System</Name><Description>Sternal Closure Tie with Needle</Description><Size>One Size</Size><SupplierCode>MN</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>252</SubCategoryID><GroupID>1791</GroupID><ARTGs><ARTG>187295</ARTG></ARTGs><MinimumBenefit>119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE607</BillingCode><Name>On-X Prosthetic Heart Valve</Name><Description>Bileaflet Mechanical Heart Valve</Description><Size>19-33mm</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>123500</ARTG><ARTG>123501</ARTG><ARTG>123502</ARTG><ARTG>123503</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ037</BillingCode><Name>Masters Series Heart Valve Mitral and Aortic - Expanded Cuff/Hemodynamic Plus</Name><Description>Aortic Expanded Cuff, Aortic Hemodynamic Plus Cuff, Mitral hemodynamic Cuff, Aortic &amp; Mitral Rotatable Cuff</Description><Size>Aortic Expanded 19 - 31mm, Aortic Hemodynamic 17 - 27mm, Mitral Hemodynamic 17 - 27mm, Rotable 17 - 33mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>129926</ARTG><ARTG>443172</ARTG><ARTG>129925</ARTG><ARTG>443171</ARTG><ARTG>129879</ARTG><ARTG>443170</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI125</BillingCode><Name>Open Pivot Heart Valve AP360 - Aortic</Name><Description>Supra-annular mechanical valve; Pyrolythic Carbon, Double Velour Polyester, Titanium</Description><Size>Aortic: 16, 18, 20, 22, 24, 26 and 28 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>219162</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC980</BillingCode><Name>Open Pivot Heart Valve (Model 500FA)
Open Pivot Heart Valve (Model 500DM)</Name><Description>Pyrolythic Carbon, Double Velour Polyester, Titanium</Description><Size>16-33mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>127419</ARTG><ARTG>127478</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ317</BillingCode><Name>Regent Prosthetic Heart Valve</Name><Description>Standard Cuff</Description><Size>Standard cuff - 17-23mm/25mm-29mm, Flex cuff - 17-23mm/25mm-29mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>116294</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI124</BillingCode><Name>Open Pivot Heart Valve AP360 - Mitral</Name><Description>Supra-annular mechanical valve; Pyrolythic Carbon, Double Velour Polyester, Titanium</Description><Size>Mitral: 16, 18, 20, 22, 24, 26,  28 and 30 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>219161</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA129</BillingCode><Name>Optiform</Name><Description>Mechanical Valve</Description><Size>19mm to 33mm</Size><SupplierCode>SA</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>150082</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JS004</BillingCode><Name>Carbomedics Standard Mitral M700 - Prosthesis,  internal, valve, cardiac, artificial</Name><Description>Prosthesis, internal, valve, cardiac, artificial</Description><Size>16.2  18.8  21.8  23.8  25.8  27.8  29.8  31.8</Size><SupplierCode>JS</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>147290</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL058</BillingCode><Name>Carpentier-Edwards PERIMOUNT Magna Ease Aortic Bioprosthesis (Model: 3300TFX)</Name><Description>Stented Bovine Pericardial Aortic Tissue Valve with a reduced profile height</Description><Size>19mm, 21mm, 23mm, 25mm, 27mm and 29mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>156355</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL064</BillingCode><Name>Edwards INSPIRIS RESILIA Aortic Valve, Model 11500A</Name><Description>A stented, trileaflet aortic valve, with leaflets comprised of RESILIA bovine pericardial tissue mounted on a flexible cobalt-chromium alloy frame (see Attachment 1 for product images).</Description><Size>INSPIRIS RESILIA is available in tissue annulus/stent diameter sizes 19, 21, 23, 25, 27, and 29 mm.</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>308830</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ136</BillingCode><Name>SJM Biocor Heart Valve</Name><Description>Stented Porcine tissue valve</Description><Size>Aortic Valves - Tissue Annulus Diameter - 21 - 29mm                                                                             Mitral Valves - Tissue Annulus Diameter - 25-35mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>155281</ARTG><ARTG>155282</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC962</BillingCode><Name>Mosaic Cinch II</Name><Description>Aortic Bioprosthesis</Description><Size>19mm -29mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>145761</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ201</BillingCode><Name>Epic FlexFit Supra</Name><Description>Triple-composite Bioprosthetic heart valve for supra-annular placement in the aortic position</Description><Size>Tissue Annulus Diameter - 19mm-23mm. Total Height 14mm-16mm.</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>164943</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC701</BillingCode><Name>Mosaic Cinch, Aortic, Mitral</Name><Description>Models 305cxx, 310cxx</Description><Size>19mm - 35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>145761</ARTG><ARTG>145762</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC950</BillingCode><Name>Mosaic Ultra Cinch II</Name><Description>Small Aortic Root Bioprosthesis</Description><Size>19mm - 29mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>145761</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ192</BillingCode><Name>Epic Flexfit</Name><Description>Triple-composite Bioprosthetic heart valve</Description><Size>Aortic Valves 21-29mm tissue annulus diameter, 14-20mm total height. Mitral Valves 25-33mm tissue annulus diameter, 15-20mm total height.</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>164942</ARTG><ARTG>164941</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI289</BillingCode><Name>Avalus Aortic Valve Bioprosthesis</Name><Description>Next generation aortic valve bovine bioprosthesis</Description><Size>19-29mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>302460</ARTG></ARTGs><ChangeExplanation>Change to Product Group</ChangeExplanation><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ824</BillingCode><Name>Avalus Ultra Bioprosthesis</Name><Description>Aortic valve bovine bioprosthesis</Description><Size>Valve size 19mm - 29mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1499</GroupID><ARTGs><ARTG>451628</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ284</BillingCode><Name>Trifecta Valve</Name><Description>Tri-leaflet, stented pericardial valve.</Description><Size>19-29mm Annulus diameter and 15-20mm height</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1500</GroupID><ARTGs><ARTG>190630</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL060</BillingCode><Name>Carpentier-Edwards PERIMOUNT Magna Mitral Ease Tissue Valve</Name><Description>The Carpentenier-Edwards PERIMOUNT Magna Mitral Ease Tissue is comprised of Bovine Pericardial Tissue and is bioengineered to withstand the higher pressures encountered in the mitral position, whilst maximising implantation ease.</Description><Size>25, 27, 29, 31, 33mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1500</GroupID><ARTGs><ARTG>196126</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL031</BillingCode><Name>Carpentier-Edwards Perimount Pericardial Bioprosthesis - Models 2900/6900  Carpentier-Edwards Perimount Plus Pericardial Bioprosthesis Mitral - Model 6900P</Name><Description>Carpentier-Edwards Pericardial Bioprosthesis. Composition: Bovine Pericardium; Elgiloy Alloy; Silicone Rubber, Polytetrafluoroethylene</Description><Size>Models 2900/6900 19-33mm, Model 6900P 25, 27, 29, 31, 33mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1500</GroupID><ARTGs><ARTG>154064</ARTG><ARTG>154073</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC015</BillingCode><Name>Freestyle bioprosthesis</Name><Description>Models 995xx, 995MSxx</Description><Size>19 - 35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1501</GroupID><Suffix>p</Suffix><ARTGs><ARTG>145752</ARTG></ARTGs><MinimumBenefit>4845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JS001</BillingCode><PriorBillingCodes><PriorBillingCode>SA170</PriorBillingCode></PriorBillingCodes><Name>Perceval S Sutureless Aortic Heart Valve</Name><Description>Sutureless Aortic Pericardial Heart Valve</Description><Size>S (19-21mm), M (21-23mm), L(23-25mm), XL (25-27mm)</Size><SupplierCode>JS</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1815</GroupID><Suffix>b (bovine)</Suffix><ARTGs><ARTG>232485</ARTG></ARTGs><MinimumBenefit>8978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL062</BillingCode><Name>EDWARDS INTUITY Elite Aortic Valve System</Name><Description>Rapid Deployment Aortic Valve System</Description><Size>19mm - 27mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1815</GroupID><Suffix>b (bovine)</Suffix><ARTGs><ARTG>261673</ARTG></ARTGs><MinimumBenefit>8978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ290</BillingCode><Name>Perceval PLUS sutureless aortic heart valve - Aortic heart valve bioprosthesis</Name><Description>PERCEVAL PLUS prosthesis is intended to replace a damaged native 
aortic heart valve or a malfunctioning aortic prosthesis via open heart 
surgery. It is indicated for use in adult patients:
- suffering from aortic valve stenosis or steno-insufficiency;
- with a previously implanted aortic valve prosthesis that is no longer functioning adequately and requires replacement</Description><Size>S (19-21), M (21-23), L (23-25), XL (25-27)</Size><SupplierCode>JS</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1815</GroupID><Suffix>b (bovine)</Suffix><ARTGs><ARTG>427401</ARTG></ARTGs><MinimumBenefit>8978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ104</BillingCode><Name>Masters Series Aortic Valved Prosthesis - VAVGJ</Name><Description>Mechanical Heart Valve sewn into the base of a woven polyester fibre graft which has been impregnated with bovine-derived gelatin</Description><Size>Annulus Diameter 19-29mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>180</SubCategoryID><GroupID>1502</GroupID><ARTGs><ARTG>429891</ARTG></ARTGs><MinimumBenefit>6603</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC979</BillingCode><Name>Open Pivot Aortic Valved Graft (Model 502AG)</Name><Description>Pyrolythic Carbon, Double Velour Polyester, Titanium</Description><Size>21- 33mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>180</SubCategoryID><GroupID>1502</GroupID><ARTGs><ARTG>206262</ARTG></ARTGs><MinimumBenefit>6603</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ036</BillingCode><Name>Coated Aortic Valved Graft</Name><Description>Coated Aortic Valved Graft </Description><Size>19mm - 33mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>180</SubCategoryID><GroupID>1502</GroupID><ARTGs><ARTG>429890</ARTG></ARTGs><MinimumBenefit>6603</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC012</BillingCode><Name>Medtronic Hancock Valved Conduit Model 150</Name><Description>Porcine bioprosthesis, dacron</Description><Size>12, 14, 16, 18, 20, 22, 25, 30mm.</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>180</SubCategoryID><GroupID>1503</GroupID><Suffix>p</Suffix><ARTGs><ARTG>145760</ARTG></ARTGs><MinimumBenefit>6460</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL068</BillingCode><Name>KONECT RESILIA Aortic Valved Conduit</Name><Description>KONECT RESILIA Aortic Valved Conduit is developed specifically for  bio-Bentall procedures. Edwards Lifesciences’ integrity preservation technology  transforms bovine pericardial tissue into RESILIA tissue, effectively eliminating free aldehydes, while protecting and preserving the tissue.  RESILIA tissue is the first to deliver the combination of Improved anti-calcification properties, Improved sustained hemodynamic performance and  Stored dry and ready to use.</Description><Size>KONECT Valve   11060A 21 mm – 29 mm      Model Accessories  TRAY1190   Accessory tray  1190 Individual sizers 19 mm* – 29 mm  1190SET Sizer set  19 mm* – 29 mm  </Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>180</SubCategoryID><GroupID>1503</GroupID><Suffix>valve and conduit</Suffix><ARTGs><ARTG>387297</ARTG></ARTGs><MinimumBenefit>7642</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI192</BillingCode><Name>Duran Ancore Band 620B</Name><Description>Silicone / Barium Sulphate, Dacron</Description><Size>23-35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>135738</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL028</BillingCode><Name>Baxter Sterile Grafts, Implants &amp; Prostheses, Non-Animal Origin Annuloplasty: Ring-Mitral Ring with Holder; Mitral Cosgrove-Edwards Annuloplasty System Model 4600; Classic Annuloplasty Ring-Tricuspid</Name><Description>Carpentier-Edwards Classic Annuloplasty Ring. Composition: Titanium Alloy; Silicone Rubber; Polyester Fabric Carpentier-Edwards Physio Annuloplasty Ring. Composition: Elgiloy Bands; Polyester Film Strips; Silicone Rubber; Polyester Cloth, Cosgrove-Edwards Annuloplasty Band. Composition: Silicone Rubber; Polyester Cloth. Carpentier-Edwards Tricuspid Ring. Composition: Titanium Alloy; Silicone Rubber; Polyester Fabric</Description><Size>24mm-40mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>158660</ARTG><ARTG>158662</ARTG><ARTG>158661</ARTG><ARTG>158663</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA127</BillingCode><Name>AnnuloFlo Annuloplasty System</Name><Description>Annuloflex Ring or AnnuloFlo Ring</Description><Size>26-36mm</Size><SupplierCode>SA</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>155662</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI182</BillingCode><Name>SIMULUS Flexible Annuloplasty Band</Name><Description>Flexible mitral/tricuspid annuloplasty band</Description><Size>Band size (mm): 23, 25, 27, 29, 31, 33, 35, 37, 39</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>271814</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI509</BillingCode><Name>SimuPlus™ Annuloplasty Ring</Name><Description>Flexible mitral annuloplasty ring including accessories (tray, sizers and annuloplasty handles)</Description><Size>Ring size (mm): 26, 28, 30, 32, 34, 36, 38, 40, 42</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>394452</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC005</BillingCode><Name>Medtronic Duran Annuloplasty Ring; Duran Ancore Ring 620R; Duran Ancore Chordal Model 620RG</Name><Description>Annuloplasty Devices - Models 610R &amp; 620R Silicone / Barium Sulphate, Dacron.</Description><Size>Model 610R 25-35mm &amp; Model 620R 23-35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>135737</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ035</BillingCode><Name>SJM Tailor Annuloplasty Ring</Name><Description>Fully Flexible</Description><Size>25mm - 35mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>123490</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI510</BillingCode><Name>SimuPlus™ Annuloplasty Band</Name><Description>Flexible mitral/tricuspid annuloplasty band including accessories (tray, sizers and annuloplasty handles)</Description><Size>Ring size (mm): 26, 28, 30, 32, 34, 36, 38, 40, 42</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>394453</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI181</BillingCode><Name>SIMULUS Flexible Annuloplasty Ring</Name><Description>Flexible mitral/tricuspid annuloplasty ring</Description><Size>Ring size (mm): 23, 25, 27, 29, 31, 33, 35, 37, 39</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1841</GroupID><ARTGs><ARTG>271813</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL049</BillingCode><Name>McCarthy-Edwards IMR Etlogix Annuloplasty Ring (Model: 4100)</Name><Description>Rigid mitral annuloplasty ring with an assymetric design</Description><Size>24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>114193</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL050</BillingCode><Name>Edwards MC3 Tricuspid Ring Annuloplalsty System (Model: 4900)</Name><Description>3D rigid annuloplasty ring with a tricuspid specific design</Description><Size>26mm, 28mm, 30mm, 32mm, 34mm, 36mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>118648</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI121</BillingCode><Name>Contour 3D Tricuspid Annuloplasty Ring</Name><Description>Annuloplasty Ring: Titanium core encapsulated with silicone, covered with polyester fabric</Description><Size>26, 28, 30 32, 34, 36mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>202774</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI184</BillingCode><Name>SIMULUS Semi-Rigid Annuloplasty Band</Name><Description>Semi-rigid mitral annuloplasty band</Description><Size>Band size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>271815</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ087</BillingCode><Name>St Jude Medical Rigid Saddle Ring</Name><Description>Rigid Annuloplasty Ring</Description><Size>24 - 34mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>124255</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL059</BillingCode><Name>Carpentier-Edwards PHYSIO ll Mitral Annuloplasty Ring</Name><Description>PHYSIO II is a semi rigid mitral annuloplasty ring, with an improved saddle shape and global disease based design</Description><Size>24, 26, 28, 30, 32, 34, 36, 38, 40mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>170274</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL061</BillingCode><Name>Carpentier-Edwards Physio Tricuspid Annuloplasty Ring</Name><Description>The Carpentier-Edwards Physio Tricuspid annuloplasty ring, model 6200 is intended for use in patients with tricuspid valvular insufficiency. Designed with selective flexibility and 3D waveform shape.</Description><Size>24,  26, 28, 30, 32, 34, 36mm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>196111</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC844</BillingCode><Name>Profile 3D Annuloplasty Ring</Name><Description>3D, rigid annuloplasty ring with physiologic mitral valve shape</Description><Size>Diameter (mm) 24 - 40mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>158457</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI191</BillingCode><Name>Colvin - Galloway Future Band Model 638B</Name><Description>Semi-rigid metal alloy core, silicone coating, polyester knit fabric</Description><Size>26-38mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>136235</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC745</BillingCode><Name>CG Future Composite Ring</Name><Description>Semi-rigid mitral annuloplasty ring, with anterior flexibility</Description><Size>24, 26, 28, 30, 32, 34, 36 &amp; 38mm</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>136236</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JS002</BillingCode><PriorBillingCodes><PriorBillingCode>SA189</PriorBillingCode></PriorBillingCodes><Name>Memo 4D Mitral/tricuspid annuloplasty ring</Name><Description>Memo 4D Mitral/tricuspid annuloplasty ring device is intended for correction of mitral insufficiencies or steno-insufficiencies. The use of the Memo 4D device is indicated for correction of congenital or acquired mitral insufficiencies with dilatation and deformation of the mitral annulus.</Description><Size>Sizes 24,26,28,30, 32,34, 36, 38, 40, 42 mm</Size><SupplierCode>JS</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>332851</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JS003</BillingCode><PriorBillingCodes><PriorBillingCode>SA150</PriorBillingCode></PriorBillingCodes><Name>Memo 3D Mitral Semirigid Annuloplasty Ring</Name><Description>Memo 3D Semirigid Mitral Annuloplasty Ring with 3D flexibility and coated with Carbofilm with or without Rechord system</Description><Size>24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm</Size><SupplierCode>JS</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>176450</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI183</BillingCode><Name>SIMULUS Semi-Rigid Annuloplasty Ring</Name><Description>Semi-rigid mitral annuloplasty ring</Description><Size>Ring size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>271812</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI511</BillingCode><Name>SimuForm™ Annuloplasty Ring</Name><Description>Semi-rigid mitral annuloplasty ring including accessories (tray, sizers and annuloplasty handles)</Description><Size>Ring size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>394454</ARTG></ARTGs><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT122</BillingCode><Name>Preclude Pericardial Membrane</Name><Description>ePTFE</Description><Size>0.1mm Thickness 6 x 12cm</Size><SupplierCode>GT</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>183</SubCategoryID><GroupID>1509</GroupID><ARTGs><ARTG>153241</ARTG></ARTGs><MinimumBenefit>342</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT274</BillingCode><Name>Preclude Percardial Membrane</Name><Description>ePTFE</Description><Size>0.1mm Thickness, 12-16cm</Size><SupplierCode>GT</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>183</SubCategoryID><GroupID>1510</GroupID><ARTGs><ARTG>153241</ARTG></ARTGs><MinimumBenefit>611</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT125</BillingCode><Name>Preclude Pericardial Membrane</Name><Description>ePTFE</Description><Size>0.1mm Thickness 15 x 20cm</Size><SupplierCode>GT</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>183</SubCategoryID><GroupID>1511</GroupID><ARTGs><ARTG>153241</ARTG></ARTGs><MinimumBenefit>1382</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU036</BillingCode><Name>Gelweave Valsalva Graft</Name><Description>Woven vascular prosthesis, polyester, gelatin sealed</Description><Size>Diameter 24 - 34 mm, Overall length 18.4 - 19.6cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1517</GroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>2673</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX028</BillingCode><PriorBillingCodes><PriorBillingCode>MQ041</PriorBillingCode></PriorBillingCodes><Name>Cardioroot</Name><Description>Woven polyester vascular prosthesis, gelatin sealed</Description><Size>Diameter 24mm - 34mm Length 15cm</Size><SupplierCode>GX</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1517</GroupID><ARTGs><ARTG>343016</ARTG></ARTGs><MinimumBenefit>2673</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU038</BillingCode><Name>Gelweave Graft</Name><Description>Straight/Curved Thoracic Graft, with anteflo side branch, Polyester, woven, gelatin sealed</Description><Size>20 -34 mm x 20-50 cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1518</GroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>1499</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU037</BillingCode><Name>Gelweave Graft</Name><Description>Multi Branched, for Aortic Arch reconstruction, Polyester, Woven, gelatin sealed</Description><Size>10 - 34 mm x 10 - 60 cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1519</GroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU068</BillingCode><Name>Thoraflex™ Hybrid</Name><Description>Thoraflex™ Hybrid device is a woven polyester prosthesis, with the addition of nitinol ring stents. 

The device is specifically designed for the treatment of aneurysm and/or dissection in the ascending thoracic aorta, aortic arch and descending thoracic aorta. Branches are provided to accommodate reconstruction of the major aortic branch vessels and intra-operative attachment of a perfusion cannula during cardio-pulmonary bypass where antegrade perfusion techniques are employed. 

The stented section of the graft enables treatment of the diseased descending thoracic aorta in a single-stage procedure without the need to anastamose a stented and unstented prostheses together.

Thoraflex Hybrid™ device has been impregnated with an absorbable protein. The aim of the impregnation is to provide a polyester vascular prosthesis which does not require pre-clotting. The protein is a bovine gelatin which has been cross-linked to a set level to control its rate of removal. It serves in place of fibrin, which seals the polyester prosthesis during normal pre-clotting. The gelatin is hydrolyzed within approximately 14 days and is replaced by normal tissue incorporation. Gelatin has been chosen as it is a non-toxic protein, a fact which is reflected by its extensive use as a safe plasma expander.</Description><Size>The stent graft comes in two nominal lengths (100mm or 150mm) with different inner vessel (ID) and outside vessel OD graft diameters (mm).  

There are 40 catalogue items with the above combinations


Overall length: 340-390 mm. 
Vascular graft length 240 mm; 
Stent graft length 100-150 mm; 
Stent graft diameter 20-40 mm; 
Collar width 12 mm;</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>2601</GroupID><ARTGs><ARTG>307356</ARTG><ARTG>307357</ARTG></ARTGs><MinimumBenefit>19430</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY002</BillingCode><PriorBillingCodes><PriorBillingCode>IU001</PriorBillingCode></PriorBillingCodes><Name>E-vita OPEN NEO</Name><Description>The E-vita OPEN NEO is a hybrid aortic arch device for the repair and replacement of the thoracic aorta using the frozen elephant trunk procedure which provides an alternative for conventional open surgery. The device is a one-piece polyester fabric tube which combines a conventional vascular graft part and an endovascular stent graft part that allows the open surgical treatment of aneurysms or dissections in the aortic arch and the descending thoracic aorta with or without involvement of the ascending aorta. It is available in a range of sizes with varying diameters and lengths and comes in three different configurations for individual supra-aortic vessel management. One-piece polyester fabric tube which combines a conventional vascular graft part and an endovascular stent graft part, including a delivery system. The E-vita OPEN NEO implant consists of a self expanding stent graft part, a conventional vascular graft part, and the delivery system.</Description><Size>Stent graft, 20-40mm diameter, 120-180mm length : Vascular graft, 26-30mm diameter, 100mm length : Perfusion branch, 10mm diameter, 100mm length : Collar, 15mm width : Brachiocephalic trunk, 12 mm diameter, 100 mm length : Left common carotid artery, 8mm diameter, 100mm length : Left subclavian artery, 10mm diameter, 100mm length.</Size><SupplierCode>JY</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>2601</GroupID><ARTGs><ARTG>374560</ARTG></ARTGs><MinimumBenefit>19430</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE612</BillingCode><Name>E-vita open plus stentgraft system (with or without collar)</Name><Description>Hybrid device consisting of a conventional vascular graft incorporated with and endovascular stent graft that allows treatment of the ascending aorta, the arch and the descending aorta, in one procedure.</Description><Size>Overall length: 100-160mm. Vascular graft length 50-70mm; Stent graft length 80-240mm; Stent graft diameter 20-40mm; Collar width 2-40mm.</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1811</GroupID><ARTGs><ARTG>216894</ARTG></ARTGs><MinimumBenefit>19000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY001</BillingCode><PriorBillingCodes><PriorBillingCode>IU002</PriorBillingCode></PriorBillingCodes><Name>E-vita OPEN NEO</Name><Description>The E-vita OPEN NEO straight graft configuration is a hybrid aortic arch device for the repair and replacement of the thoracic aorta using the frozen elephant trunk procedure which provides an alternative for conventional open surgery. The device is a one-piece polyester fabric tube which combines a conventional vascular graft part and an endovascular stent graft part that allows the open surgical treatment of aneurysms or dissections in the aortic arch and the descending thoracic aorta with or without involvement of the ascending aorta. One-piece polyester fabric tube which combines a conventional vascular graft part and an endovascular stent graft part, including a delivery system. The E-vita OPEN NEO implant consists of a self-expanding stent graft part, a conventional vascular graft part, and the delivery system.</Description><Size>Stent graft, 20-40mm diameter, 120-180mm length : Vascular graft, 26-30mm diameter, 100mm length : Perfusion branch, 10mm diameter, 100mm length : Collar, 30mm width</Size><SupplierCode>JY</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>1811</GroupID><ARTGs><ARTG>374560</ARTG></ARTGs><MinimumBenefit>19000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ820</BillingCode><Name>Viper Spinal System - monoaxial screw</Name><Description>Monoaxial screw</Description><Size>30 - 80mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>145290</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY091</BillingCode><PriorBillingCodes><PriorBillingCode>DR036</PriorBillingCode></PriorBillingCodes><Name>Z-Medical Pedicle Screw System - Pedicle Screws, Monoaxial</Name><Description>Z-Medical Pedicle Screw System - Pedicle Screws, Monoaxial, Cannulated</Description><Size>Dia (5-8)mm x Length (35-55)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>343676</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB215</BillingCode><Name>CREO® Side Loading Monoaxial Screw, Cannulated</Name><Description>Cannulated monoaxial pedicle screw</Description><Size>Diameter: 4.0 - 10.5mm  Length: 20 -120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY708</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Preassembled Monoaxial Pedicle Screw, Cannulated</Description><Size>5.00mm - 9.00mm Diameter; 20mm - 65mm Length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY096</BillingCode><PriorBillingCodes><PriorBillingCode>JG007</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Fixed Screw</Name><Description>Standard Cannulated</Description><Size>5.5/6.5/7.5mm Diameter  25-80mm Length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA013</BillingCode><PriorBillingCodes><PriorBillingCode>OH354</PriorBillingCode></PriorBillingCodes><Name>Novel/Zenius Reduction Mono screw</Name><Description>Monoaxial Reduction pedicle screw</Description><Size>5.5-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>With cap/cover plate</Suffix><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>835</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU125</BillingCode><Name>M.U.S.T Monoaxial Pedicle Screws Cannulated</Name><Description>Monoaxial screws cannulated</Description><Size>5 - 7 mm: Length 30- 60 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC823</BillingCode><Name>CD Horizon</Name><Description>Legacy Fixed Iliac Screw</Description><Size>5.5mm to 8.5mm Diameter</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA008</BillingCode><PriorBillingCodes><PriorBillingCode>OH355</PriorBillingCode></PriorBillingCodes><Name>Medyssey Spinal Fixation System</Name><Description>Cannulated Monoaxial Screw</Description><Size>4.0-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH081</BillingCode><Name>ZINA MIS Monoaxial Screw </Name><Description>ZINA MIS Spine System - Cannulated Monoaxial Screw</Description><Size>Diameter x Length ( mm )   4.5×30   4.5×35  4.5×40  4.5×45  4.5×50  4.5×55  4.5×60  4.5×65  5.0×30  5.0×35  5.0×40  5.0×45  5.0×50  5.0×55  5.0×60  5.0×65  5.5×30  5.5×35  5.5×40  5.5×45  5.5×50  5.5×55  5.5×60  5.5×65  6.0×30  6.0×35  6.0×40  6.0×45  6.0×50  6.0×55  6.0×60  6.0×65  6.5×30  6.5×35  6.5×40  6.5×45  6.5×50  6.5×55  6.5×60  6.5×65  7.0×30  7.0×35  7.0×40  7.0×45  7.0×50  7.0×55  7.0×60  7.0×65  7.5×30  7.5×35  7.5×40  7.5×45  7.5×50  7.5×55  7.5×60  7.5×65  </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ762</BillingCode><Name>SIGNUS DIPLOMAT FT Pedicle Screw System-Monoaxial Screw</Name><Description>SIGNUS DIPLOMAT FT Pedicle Screw System-Monoaxial Screw- cannulated, non-sterile and sterile</Description><Size>Diameter 5.5-9.5 mm Length 30-100 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV151</BillingCode><Name>Reline (Cannulated Monoaxial Screw)</Name><Description>Cannulated Fixed Pedicle Screw</Description><Size>4.5-12.5mm diameter; 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI039</BillingCode><Name>HPS™ Monoaxial Pedicle Screw</Name><Description>Monaxial pedicle screw</Description><Size>Diameter: 5-8mm  Length: 30-60mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB059</BillingCode><Name>TINA Minimally Invasive Spine System</Name><Description>Monoaxial Cannulated Screw</Description><Size>All sizes</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB367</BillingCode><Name>Aesculap Spinal System</Name><Description>Monoaxial Cannulated Screw</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW756</BillingCode><PriorBillingCodes><PriorBillingCode>ER202</PriorBillingCode></PriorBillingCodes><Name> Mesa Monoaxial Screw    </Name><Description>Monoaxial screw, rotating head    </Description><Size>Diameter: 4.5mm - 8.5mm, Length: 25mm - 55mm </Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Integrated Locking Mechanism</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ218</BillingCode><Name>CD HORIZON Spinal System - Cannulated Sagittal Adjusting Screws</Name><Description>Cannulated Sagittal Adjusting Screws
</Description><Size>Diameter:  4.5mm - 7.5mm   Length: 25mm - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ737</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Monoaxial Screw</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Monoaxial Screw, non-sterile and sterile (packed with set screw)</Description><Size>dia (5.5-9.5 mm) x length (30-100 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ220</BillingCode><Name>CD HORIZON Spinal System - Uniaxial Screws and Sagittal Adjusting Screws</Name><Description>CD HORIZON SOLERA Uniaxial Screws and Sagittal Adjusting Screws
</Description><Size>Diameter:  4.0mm - 8.5mm  Length: 20mm - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><ChangeExplanation>Change to Group benefit</ChangeExplanation><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW581</BillingCode><Name>ES2 Augmentable Monoaxial Screw</Name><Description>Fenestrated Cannulated Monoaxial Screw</Description><Size>Dia 5.5mm to 7.5mm, length 30mm to 90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>315418</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW013</BillingCode><PriorBillingCodes><PriorBillingCode>ZI993</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Monoaxial Pedicle Screws</Name><Description>Monoaxial pedicle Screws Titanium</Description><Size>Diameter = 4.0mm-7.5mm  Length= 20mm-55mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH580</BillingCode><Name>Venus Spinal Fixation System - Pedicle Screws - Mono</Name><Description>Venus - Monoaxial Pedicle Screws</Description><Size>D 4.0-7.2mm L 25-70mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ296</BillingCode><Name>Invictus Spinal Fixation System</Name><Description>Monoaxial Pedicle Screw, Ti Alloy </Description><Size>(4.5 - 12.5) mm diam x (20 - 130) mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH050</BillingCode><Name>Monoaxial Screws</Name><Description>Dual Head Screws</Description><Size>35-45mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE801</BillingCode><Name>Mariner Uniaxial Screw</Name><Description>Uniaxial Screw</Description><Size>4.5-7.5mm Diameter, 20-110mm Lengths    </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ103</BillingCode><Name>RESPONSE Spine System – Uniaxial Screw</Name><Description>Pedicle Uniaxial Screw</Description><Size>4-7mm diameter, 20mm-100mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB373</BillingCode><Name>Aesculap Spinal System</Name><Description>Monoaxial Screw - titanium alloy</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER330</BillingCode><Name>Ulrich Pedicle Screw System-Pedicle Screw, monoaxial, cannulated</Name><Description>Ulrich Pedicle Screw System (cosmicMIA, uCentum)-Pedicle Screw, monoaxial, cannulated, with or without HA coating or fenestrations</Description><Size>dia (4.5-10 mm) x length (25-60 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279706</ARTG><ARTG>289054</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY597</BillingCode><Name>Universal Spinal system – USS &amp; USS II</Name><Description>Pedicle and Vertebral Screws</Description><Size>25mm - 110mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>133401</ARTG><ARTG>293276</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ012</BillingCode><Name>Centaur Monoaxial Screw</Name><Description>Monoaxial screw</Description><Size>Diameter 4mm-10mm, lengths 20mm-110mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ936</BillingCode><Name>Expedium Spine System</Name><Description>Monoaxial Screw</Description><Size>Diameter 4.35-10mm; Length 25-80mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>128257</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER658</BillingCode><Name>LnK AccelFix Spinal Fixation System-Monoaxial screw</Name><Description> AccelFix S/AccelFix DS/AccelFix SS Monoaxial screws, reduction or non-reduction, Ti, sterile.</Description><Size>Diameter: 4-8.5 mm  Length:    34.5-176.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU126</BillingCode><Name>M.U.S.T Monoaxial Pedicle Screws</Name><Description>Monoaxial Screws</Description><Size>4.5 - 8mm; Length 25-90 mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH059</BillingCode><Name>Monoaxial Screws</Name><Description>Monoaxial Screws</Description><Size>20-55mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW020</BillingCode><Name>WEGO Spinal Systems </Name><Description>Monoaxial screws </Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU017</BillingCode><Name>Romeo 2  Posterior Thoraco-lumbar Fixation System - Monoxial Screw</Name><Description>Monomial pedicle screw</Description><Size>Diameter: 4mm, 5mm, 6mm, 7mm, 8mm  Length: 25m, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 70mm, 80mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB089</BillingCode><Name>CREO Stabilization System Preassembled Monoaxial Screw</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5  4.0mm diameter to 8.5mm diameter  20mm to 90mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><Note>The Prostheses List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).</Note><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB084</BillingCode><Name>REVERE TRANSITION HA Coated Monoaxial Screw</Name><Description>Monoaxial Screw HA Coated</Description><Size>6.5mm - 8.5mm x 35mm - 65mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY097</BillingCode><PriorBillingCodes><PriorBillingCode>JG008</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Fixed Screw</Name><Description>Standard Solid</Description><Size>4.5/5.5/6.5/7.5mm Diameter  25-110mm Length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW385</BillingCode><Name>Xia Spine System</Name><Description>Monoaxial Screw</Description><Size>Dia 4.5 - 8.5mm Length 25 - 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>279160</ARTG><ARTG>279150</ARTG><ARTG>279159</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB015</BillingCode><Name>AnyPlus II Mono Screw</Name><Description>Monaxial Pedicle Screw and Mono Reduction Screws</Description><Size>Diameter: 4.5-7.5mm  Length: 35-55mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>353891</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB006</BillingCode><Name>Lumfix Monoaxial Screw </Name><Description>Self Tapping Screw, single or dual thread , std or reduction castle. </Description><Size>(4.0 - 8.5)mm diameter x (20- 60)mm length </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH519</BillingCode><Name>DSS Spinal System</Name><Description>Monoaxial Pedicle Screw - cannulated</Description><Size>5-9mm Diam x 30-60mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>186733</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV121</BillingCode><Name>Precept (Fixed Screw)</Name><Description>Fixed Screw</Description><Size>4.5-12.5mm diameter; 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH752</BillingCode><PriorBillingCodes><PriorBillingCode>LM493</PriorBillingCode></PriorBillingCodes><Name>Pedicle Screw</Name><Description>Pedicle Screw</Description><Size>Diameter 4.5 - 9.5 mm  Length 25 - 110 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV112</BillingCode><Name>Reline (Monoaxial Screw)</Name><Description>Fixed Screw</Description><Size>4.0mm-12.5mm in diameter; 15-120mm in length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV056</BillingCode><Name>Armada (Fixed Screw)</Name><Description>Fixed screw</Description><Size>4.0/4.5/5.0/5.5/6.5/7.5 x 25-55mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB008</BillingCode><Name>DPS Spine System - Monoaxial Pedicle Screw</Name><Description>Mono-axial pedicle screws</Description><Size>Diameter 4/5/6/7mm; Length 25 - 55mm.</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA011</BillingCode><PriorBillingCodes><PriorBillingCode>OH357</PriorBillingCode></PriorBillingCodes><Name>Medyssey Spinal Fixation System</Name><Description>Monoaxial Screw</Description><Size>4.0-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB213</BillingCode><Name>CREO® Side Loading Monoxial Screw</Name><Description>Monoaxial screw</Description><Size>Diameter: 4-10.5mm  Length: 20-120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY003</BillingCode><Name>Katana Monoaxial Screw</Name><Description>Monoaxial Pedicle Screw</Description><Size>4.5 - 7.5mm diameter   25 - 55mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC967</BillingCode><Name>CD HORIZON Spinal System - Fixed Angle Screw</Name><Description>CD HORIZON SOLERA Fixed Angle Screw</Description><Size>Diameter: 4.0mm - 10.5mm

Length:  15mm - 110mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER445</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw, monoaxial</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw, monoaxial;self tapping and non self tapping; standard and reduction; accommodates rods 5.0, 5.5, 6.0 and 6.35 mm dia.</Description><Size>dia (4.0-8.5mm) x length (20-150mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY075</BillingCode><PriorBillingCodes><PriorBillingCode>DR005</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Pedicle Screw, Monoaxial</Name><Description>Life Spine Pedicle Screw System - Pedicle Screw, Monoaxial, Standard/Reduction</Description><Size>dia (4.5-8.5)mm x length (30-125)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB083</BillingCode><Name>REVERE Monoaxial Screw</Name><Description>Monoaxial Screw</Description><Size>4.0mm x 20-35mm in 5mm increments
4.5mm x 20-45mm in 5mm increments
5.0mm x 25-55mm in 5mm increments
5.5mm x 20 -50mm in 5mm increments
5.5 x 27mm in 5mm increments and 25mm-6mm increments in 5mm increments
6.5mm x 25-65mm in 5mm increments
6.5mm x 27mm -55mm in 5mm increments and 25mm - 65mm in 5mm increments
8.5mm x 25mm-65mm in 5mm increments
9.0mm x 25- 25mm-120mm in 5mm increments
10.0mm x 25mm-120mm in 5mm increments</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU040</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - monoaxial screw</Name><Description>Monoaxial pedicle screws</Description><Size>Diameter: 4.5 - 9.5mm.  Length: 25 - 120mm.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM448</BillingCode><PriorBillingCodes><PriorBillingCode>NK064</PriorBillingCode></PriorBillingCodes><Name>Excella Uniplanar Pedicle Screw</Name><Description>Excella Pedicle Screw System Uniplanar Pedicle Screw</Description><Size>4.0 to 6.5mm diameter  25 to 55 long</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER615</BillingCode><PriorBillingCodes><PriorBillingCode>OF005</PriorBillingCode></PriorBillingCodes><Name>Firebird mono axial screws</Name><Description>Firebird mono axial pedicle screws in various diameters and lengths. Titanium.</Description><Size>4.0, 4.5, 5.5, 6.5, 7.5. 8.5; 25mm-100mm in 5mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER222</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System - Monoaxial Screw</Name><Description>SIGNUS Diplomat Pedicle Screw System - Monoaxial Screw</Description><Size>dia (5.5-9.5 mm) x length (30-100 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER331</BillingCode><Name>Ulrich Pedicle Screw System-Pedicle Screw, monoaxial</Name><Description>Ulrich Pedicle Screw System (uCentum)-Pedicle Screw, monoaxial, standard or long arm, sterile and non-sterile</Description><Size>dia (4.5-10 mm) x length (25-60 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY076</BillingCode><PriorBillingCodes><PriorBillingCode>DR006</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Pedicle Screw, Polyaxial, Cannulated</Name><Description>Life Spine Pedicle Screw System (Nautilus, Avatar)-Pedicle Screw, Polyaxial, Cannulated,</Description><Size>dia (4.5-10 mm) x length (25-125 mm)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI395</BillingCode><Name>CD HORIZON Voyager Fenestrated Screws</Name><Description>Fenestrated multi-axial screw</Description><Size>Diameter:4.5mm-10.5mm, Length: 30mm-80mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>187126</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB082</BillingCode><Name>REVERE TRANSITION HA Coated Cannulated Polyaxial Screw</Name><Description>Polyaxial Screw HA Coated, Cannulated</Description><Size>6.5mm - 8.5mm x 35mm - 6mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196585</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC736</BillingCode><Name>Vertex Max Cannulated Screw</Name><Description>Posterior cannulated cervical screw</Description><Size>Diameter 3.5 - 4.5mm
Length 20 - 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI465</BillingCode><PriorBillingCodes><PriorBillingCode>NK080</PriorBillingCode></PriorBillingCodes><Name>Cannulated Polyaxial Pedicle Screws</Name><Description>Cannulated Polyaxial Pedicle Screws</Description><Size>4.5 to 9.5mm diameter  all lengths</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY556</BillingCode><Name>Expedium Spine System</Name><Description>Polyaxial Screws</Description><Size>4.35 - 8mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY706</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Preassembled Pedicle Screw, Cannulated</Description><Size>5.00mm - 9.00mm; 20mm - 65mm Length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH048</BillingCode><Name>Polyaxial Screws</Name><Description>Dual Head Screws</Description><Size>35-45mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB002</BillingCode><PriorBillingCodes><PriorBillingCode>SV068</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ sterile Multiaxial non cannulated Pedicle Screw</Name><Description>Non Cannulated pedicle screws</Description><Size>Multiaxial screws  Diameter: 5.5-7.5 mm   Length: 25-60 mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI272</BillingCode><Name>CD Horizon</Name><Description>Dual Rod Multi-Axial Screw</Description><Size>Diameter: 5.5-8.5mm  Length: 30-55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW761</BillingCode><PriorBillingCodes><PriorBillingCode>ER215</PriorBillingCode></PriorBillingCodes><Name>Everest Spinal System-Fenestrated Screw</Name><Description>Polyaxial Screw, Fenestrated</Description><Size>(4.5 -9.5)mm diam x (20-110)mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM436</BillingCode><PriorBillingCodes><PriorBillingCode>NK116</PriorBillingCode></PriorBillingCodes><Name>Amendia Savannah-T Pedicle Screw System-Polyaxial Pedicle Screw-Cannulated</Name><Description>Pedicle Screw System-Polyaxial Pedicle Screw-Cannulated, Low, Mid, High Top standard and Grip Quick Threads</Description><Size>dia (5.5-7.5 mm) x length (30-65 mm)</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>281992</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW734</BillingCode><PriorBillingCodes><PriorBillingCode>ER025</PriorBillingCode></PriorBillingCodes><Name>Denali cannulated polyaxial screw</Name><Description>Cannulated polyaxial pedicle screw</Description><Size>Diameter:  5.5mm, 6.5mm and 7.5mm  Length:  35 to 55mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW521</BillingCode><Name>Mantis Augmentable Screw</Name><Description>Augmentable Pedicle Screw</Description><Size>5.5-8.5mm diameter, 40-65mm Length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279142</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER144</BillingCode><Name>Signus Pedicle Screw System-Pedicle Screw Polyaxial Cannulated</Name><Description>Signus Pedicle Screw System-Pedicle Screw Polyaxial Cannulated</Description><Size>4.5 - 7.5mm x 30 - 70mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB014</BillingCode><Name>AnyPlus Long Arm Screw</Name><Description>Polyaxial cannulated pedicle screws</Description><Size>Diameter: 5.0 - 7.5mm  Length 25 -100mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>353891</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ049</BillingCode><Name>Centaur Screw System</Name><Description>Cannulated Polyaxial Screw</Description><Size>4mm - 10mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV057</BillingCode><Name>Armada (Reduction Screw)</Name><Description>Reduction Screw</Description><Size>4.5-8.5mm x 20-120mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB001</BillingCode><PriorBillingCodes><PriorBillingCode>SV070</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ sterile Multiaxial Pedicle Screws</Name><Description>Cannulated: Fenestrated/ Multi Axial Cannulated Extended Head/ Extended Head Max and Auto Adjust screw</Description><Size>Cannulated, Multi Axial Cannulated Extended Head, Extended Head Max and Auto Adjust  4.5mm x 25; 30; 35 mm  5.5mm x 25; 30; 35; 40; 45; 50; 55; 60 mm  6.5mm x 25; 30; 35; 40; 45; 50; 55; 60 mm  7.5mm x 25; 30; 35; 40; 45; 50; 55; 60 mm  Fenestrated  4.5mm x 30;35;40 mm  5.5mm x 30; 35; 40; 45; 50; 55; 60 mm  6.5mm x 30; 35; 40; 45; 50; 55; 60 mm  7.5mm x 30; 35; 40; 45; 50; 55; 60 mm  Fenestrated Extended Head Max  4.5mm x30; 35; 40 mm  5.5mm x 30; 35; 40; 45; 50; 55; 60 mm  6.5mm x 25; 30; 35; 40; 45; 50; 55; 60 mm  7.5mm x 25; 30; 35; 40; 45; 50; 55; 60 mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW484</BillingCode><Name>ES2 Spinal System, Screw</Name><Description>Polyaxial cannulated screw with integrated blades</Description><Size>Diam 4.5mm to 8.5mm, Length 25mm to 90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>278581</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER332</BillingCode><Name>Ulrich Pedicle Screw System-Pedicle Screw, polyaxial, cannulated</Name><Description>Ulrich Pedicle Screw System (uCentum)-Pedicle Screw, polyaxial, cannulated, with or without fenestrations</Description><Size>dia (4.5-10 mm) x length (25-60 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER659</BillingCode><Name>LnK AccelFix Spinal Fixation System-MIS Polyaxial screw</Name><Description>AccelFix MIS Polyaxial screw, open or closed, cannulated, sterile, Ti</Description><Size>Diameter: 5.5-9.5 mm  Length:    30-150 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR042</BillingCode><Name>MANTIS</Name><Description>Screw, Cannulated, Multiaxial, Ti</Description><Size>4.5mm - 7.5mm x 25mm - 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>278581</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW580</BillingCode><Name>ES2 Augmentable Polyaxial Screw</Name><Description>Fenestrated Cannulated Polyaxial Screw</Description><Size>Dia 5.5mm to 8.5mm, length 30mm to 90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279143</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW760</BillingCode><PriorBillingCodes><PriorBillingCode>ER214</PriorBillingCode></PriorBillingCodes><Name>Everest Spinal System -Cannulated Screw</Name><Description>Polyaxial Screw, Cannulated</Description><Size>(4.5 -10.5)mm diam x (20-110)mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW632</BillingCode><Name>Xia Serrato Cannulated Polyaxial Screw</Name><Description>Cannulated Polyaxial Screw</Description><Size>Dia 4.5mm-7.5mm; Length 20mm-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279159</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW594</BillingCode><Name>Xia 4.5 CT Cannulated Polyaxial Screw</Name><Description>Cannulated Cortical Thread Polyaxial Screw</Description><Size>Dia 4.5mm to 6.5mm, length 20mm to 45mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279160</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT016</BillingCode><Name>SOLFIX2 Pedicle Screws</Name><Description>Cannulated and fenestrated screws</Description><Size>Diameter: 5.4mm - 9.4mm  Length: 30mm - 110mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV133</BillingCode><Name>Reline System (cannulated polyaxial screw)</Name><Description>Cannulated Polyaxial Screw</Description><Size>4.5-12.5 mm diameter, 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV123</BillingCode><Name>Precept (Fenestrated Screw)</Name><Description>Fenestrated Screw</Description><Size>4.5-12.5mm diameter; 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV146</BillingCode><Name>Reline (Fenestrated screw)</Name><Description>Pedicle Screw</Description><Size>4.5-12.5mm diameter; 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI043</BillingCode><Name>HPS™ 2.0 Polyaxial Pedicle Screw</Name><Description>Cannulated polyaxial screws with MIS option</Description><Size>Diameter: 4.5- 9.5mm  Length: 20mm-60mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI034</BillingCode><Name>HPS™ Polyaxial Screws</Name><Description>Polyaxial cannulated pedicle screws.</Description><Size>Diameter: 5-9mm  Length: 30-60mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF026</BillingCode><Name>Pedicle Screw</Name><Description>Cannulated Screw,  Carbon Fiber Reinforced Polymer</Description><Size>(6.5-7.5)mm x (35-55) mm length</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>288089</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI045</BillingCode><Name>Streamline Polyaxial Screws</Name><Description>Polyaxial cannulated pedicle screws including MIS, reduction and fenestrated screws</Description><Size>Diameter: 4.5 - 9.5mm  Length: 20-60mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV134</BillingCode><Name>Reline System (cannulated polyaxial reduction screw)</Name><Description>Cannulated Polyaxial Reduction Screw</Description><Size>4.5-12.5mm diameter, 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV122</BillingCode><Name>Precept (Reduction Screw)</Name><Description>Reduction Screw</Description><Size>4.5-7.5mm diameter; 25-60mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB060</BillingCode><Name>TINA Minimally Invasive Spine System</Name><Description>Polyaxial Cannulated Screw</Description><Size>All sizes</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV148</BillingCode><Name>Reline (Cannulated Fenestrated screw)</Name><Description>Pedicle Screw</Description><Size>4.5-12.5mm diameter; 25-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV087</BillingCode><Name>Precept (Polyaxial Screw)</Name><Description>Polyaxial Screw</Description><Size>4.5 x 25-45mm, 5.5-8.5 x 30-100mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH704</BillingCode><Name>HPS 2.0 Pedicle Screw</Name><Description>Pedicle Screw with Reduction and Extended tabs - Cannulated &amp; Fenestrated</Description><Size>4.5-9.5mm diameters</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>186733</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB364</BillingCode><Name>Aesculap Spinal System</Name><Description>Polyaxial Cannulated Screw</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV089</BillingCode><Name>Armada (Fenestrated Screw)</Name><Description>Fenestrated Screw</Description><Size>5.5 - 8.5 x 30-65mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH484</BillingCode><Name>DSS HP Spinal System - Pedicle Screw</Name><Description>Cannulated Pedicle Screw, Titanium</Description><Size>(5 - 10)mm diam x (30 - 110(mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>186733</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER288</BillingCode><Name>Premia Spine Versalink Fixation System-Polyaxial Pedicle Screw</Name><Description>Premia Spine Versalink Fixation System-Cannulated Polyaxial Pedicle Screw</Description><Size>dia (5.5-8.5)mm x length (25-60)mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>267145</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER406</BillingCode><Name>LnK MIS Spinal System/PathLoc-L MIS Spinal System-Pedicle Screw</Name><Description>LnK MIS Spinal System /PathLoc-L MIS Pedicle screw, polyaxial,cannulated,self-tapping, double Thread, with sleeve</Description><Size>dia (5.5-7.5mm) x length (30-60 mm); sleeve length (47-127 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>286124</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM444</BillingCode><PriorBillingCodes><PriorBillingCode>NK059</PriorBillingCode></PriorBillingCodes><Name>Excella Cannulated Pedicle Screw</Name><Description>Cannulated Pedicle Screw</Description><Size>4.75 to 8.5mm diameter  25 to 60 mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER311</BillingCode><Name>Ulrich posterior OCT System (neon3)-Pedicle Screws, cannulated</Name><Description>Ulrich posterior OCT System (neon3)-Pedicle Screws, cannulated</Description><Size>dia (4-5.5 mm) x length (20-55 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB018</BillingCode><Name>REVOLVE Stabilization System Poliaxial Screw</Name><Description>Polyaxial, cannulated pedicale screw</Description><Size>5.5mm - 8.5mm diameter 30mm - 90mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>190043</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB199</BillingCode><Name>CREO S2AI Preferred Angle</Name><Description>Cannulated CoCr polyaxial screw</Description><Size>Diameter 6.0 -10.5mm  Length 60-120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB060</BillingCode><Name>REVLOK Fenestrated Screw System Screw</Name><Description>Fenestrated Screw</Description><Size>5.5mm -10.5mm x 30mm -120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196054</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI467</BillingCode><PriorBillingCodes><PriorBillingCode>NK082</PriorBillingCode></PriorBillingCodes><Name>Cannulated Polyaxial Pedicle Screw</Name><Description>Cannulated Polyaxial Pedicle Screw</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB081</BillingCode><Name>REVERE Cannulated Polyaxial Screw</Name><Description>Cannulated Polyaxial Screw</Description><Size>5.5mm x 25 - 8.5 x 65mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY004</BillingCode><Name>Katana Polyaxial Screw</Name><Description>Polyaxial Pedicle Screw</Description><Size>4.5 - 9.5mm diameter, 20 - 100mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW726</BillingCode><PriorBillingCodes><PriorBillingCode>ER017</PriorBillingCode></PriorBillingCodes><Name>Mesa Spinal System / Polyaxial Pedicle Screw</Name><Description>Polyaxial Pedicle Screw, Titanium</Description><Size>(3.5 - 12.5)mm diam, lengths (10-110)mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Integrated Locking Mechanism</Suffix><ARTGs><ARTG>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW759</BillingCode><PriorBillingCodes><PriorBillingCode>ER212</PriorBillingCode></PriorBillingCodes><Name>Mesa Polyaxial Cannulated Screw</Name><Description>Cannulated Pedicle Screw, polyaxial </Description><Size>Diameter: 5.5-6.5mm Length: 30-45mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Integrated Locking Mechanism, Cannulated</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1105</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER221</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System-Polyaxial Screw-Shank</Name><Description>SIGNUS Diplomat Pedicle Screw System-Polyaxial Screw-Shank</Description><Size>dia (4.5-9.5 mm) x length (25-100 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY008</BillingCode><Name>Reform Modular Polyaxial Screws</Name><Description>Module Polyaxial Screws</Description><Size>Diameter 4.5mm to 10.5mm  Length 25mm to 120mm  Cannulated and Non-Cannulated</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER571</BillingCode><PriorBillingCodes><PriorBillingCode>OF076</PriorBillingCode></PriorBillingCodes><Name>Firebird Modular Screws</Name><Description>Modular pedicle screws - shank</Description><Size>Diameter - 4mm -11.5mm   Length - 25mm - 110mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER544</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Pedicle Screw</Name><Description>Polyaxial Screw shank-solid and cannulated/fenestrated</Description><Size>Ø4.3mm - Ø10.0 mm diameter, 20-120mm length</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV142</BillingCode><Name>Reline (Mod Shank)</Name><Description>Screw Shank</Description><Size>4.0-10.5mm x 25-90mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV139</BillingCode><Name>Reline (Mod Shank) Cannulated</Name><Description>Screw Shank</Description><Size>4.5-12.5mm x 25-120mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ452</BillingCode><PriorBillingCodes><PriorBillingCode>JQ062</PriorBillingCode></PriorBillingCodes><Name>Invictus Osseoscrew</Name><Description>Pedicle Screw, Cannulated, Std, Extended, Reduction Tab. Ti Alloy</Description><Size>(6,.5 - 7.5)mm dia x (40-55)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ062
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ443</BillingCode><PriorBillingCodes><PriorBillingCode>JQ038</PriorBillingCode></PriorBillingCodes><Name>Invictus  Shank </Name><Description>Polyaxial , solid or cannulated Ti Alloy </Description><Size>(4-12.5)mm dia x (20-130)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ038
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ454</BillingCode><PriorBillingCodes><PriorBillingCode>JQ037</PriorBillingCode></PriorBillingCodes><Name>Invictus Polyaxial Pedicle Screw</Name><Description>Cannulated, complete polyaxial screw, Ti Alloy</Description><Size>( 4.5 -10.5 )mm diameter  x  (20-130)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ037
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV120</BillingCode><Name>Precept (MP Screw Shank)</Name><Description>Screw Shank</Description><Size>4.5-7.5mm diameter; 25-60mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ415</BillingCode><PriorBillingCodes><PriorBillingCode>LM508</PriorBillingCode></PriorBillingCodes><Name>Polyaxial Pedicle Screws</Name><Description>Polyaxial Pedicle Screws</Description><Size>Diameter 5.5 - 7.5mm  Length 35 - 55mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Integrated Locking Mechanism</Suffix><ARTGs><ARTG>366793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM508
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ745</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System-Polyaxial Screw-Shank</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System-Polyaxial Screw-Shank, sterile and non-sterile</Description><Size>dia (4.5-9.5 mm) x length (25-100 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ446</BillingCode><PriorBillingCodes><PriorBillingCode>JQ063</PriorBillingCode></PriorBillingCodes><Name>Invictus Favored Angle</Name><Description>Polyaxial Pedicle Screw, Cannulated , Open or Closed Tulip.  Ti Alloy</Description><Size>(6.5- 10.5)mm dia x (60-110)mm length</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ063
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ679</BillingCode><Name>Invictus Polyaxial Pedicle Screw  </Name><Description>Polyaxial Screw, Fenestrated &amp; Cannulated, Cortical-Cancellous Thread.  Std and Reduction Tulip.   Ti Alloy</Description><Size>(4.5 - 12.5) mm diameter x (30-120 )mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>426650</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ591</BillingCode><Name>SOCORE Polyaxial Cannulated Reduction Pedicle Screw</Name><Description>SOCORE Polyaxial Cannulated Reduction Pedicle Screw</Description><Size>Diameter 4.5mm to 8.0mm, Length 25mm to 70mm</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ421</BillingCode><PriorBillingCodes><PriorBillingCode>NK016</PriorBillingCode><PriorBillingCode>LM460</PriorBillingCode></PriorBillingCodes><Name>X90 Pedicle Screw</Name><Description>Capless, Polyaxial pedicle screw</Description><Size>Diameter 4.75 - 8.25mm  Length 30 -55mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM460
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ453</BillingCode><PriorBillingCodes><PriorBillingCode>JQ041</PriorBillingCode></PriorBillingCodes><Name>Invictus Polyaxial  Pedicle Screw</Name><Description>Polyaxial or Favoured Angle (Medial /Lateral or Cranial/Caudal) Pedicle Screw , Full or Partial Thread.   Ti Alloy</Description><Size>(3.5 - 12.5)mm x (8-130)mm</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ041
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ392</BillingCode><PriorBillingCodes><PriorBillingCode>NK006</PriorBillingCode><PriorBillingCode>LM401</PriorBillingCode></PriorBillingCodes><Name>Fortex Pedicle Screw system - Pedicle Screw</Name><Description>Polyaxial pedicle screw</Description><Size>4.75, 5.5, 6.5, 7.5, 8.25mm diameter. 30, 35, 40, 45, 50, 55mm lengths</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>159605</ARTG><ARTG>170220</ARTG><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM401
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ593</BillingCode><Name>SOCORE Polyaxial Pedicle Screw</Name><Description>Socore Polyaxial Pedicle Screw</Description><Size>4mm - 10mm diameter , 20mm to 100mm length</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH708</BillingCode><Name>Athena Polyaxial screw shank</Name><Description>Polyaxial screw shank intended for pedicle or cortical bone trajectory screw insertion. The shanks have a quad to dual lead thread for increased cortical bone purchase. The screw shanks are also fenestrated to enable screw augmentation with bone cement</Description><Size>5mm -8.5mm diameter   30mm to 100mm screw lengths   </Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>337150</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV084</BillingCode><Name>Precept (Screw Shank)</Name><Description>Screw shank</Description><Size>4.8-8.5mm x (25-50mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY098</BillingCode><PriorBillingCodes><PriorBillingCode>JG009</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Modular Screw</Name><Description>Standard Solid</Description><Size>4.5/5.5/6.5/7.5mm diameter  25-100mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB129</BillingCode><Name>CREO MCS - Screw Post</Name><Description>Double threaded, dual outer diameter screw post</Description><Size>Diameter 5.0-7.5mm, Length 20-45mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB100</BillingCode><Name>CREO AMP™ Modular Screw Shaft</Name><Description>Modular screw shaft</Description><Size>4.0mm - 10.5mm x 20mm - 120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU041</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - polyaxial screw-shank</Name><Description>Polyaxial screw shanks: cortical bone screw shanks, degenerative bone screw shanks</Description><Size>Diameter (cortical bone screw shank): 4.5 - 7.5mm, Diameter (degenerative bone screw shank): 4.5 - 9.5mm.  Length (cortical bone screw shank): 25 - 50mm. Length (degenerative bone screw shank): 25 - 120mm.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC459</BillingCode><Name>TSRH 3D </Name><Description>Extended Post Screw</Description><Size>30 - 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY598</BillingCode><Name>Spinal Fixation System</Name><Description>Pedicle: Screw, Head</Description><Size>4mm - 9mm D</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG><ARTG>133401</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI503</BillingCode><Name>PASS Polyaxial Spinal System - Pedicle Screws</Name><Description>Polyaxial Pedicle Screws</Description><Size>4.5 to 7.5mm diameter</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC458</BillingCode><Name>TSRH 3D </Name><Description>Screw</Description><Size>4.5 -8.5mm diameter</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB069</BillingCode><Name>BEACON™ Stabilization System Posted Screw</Name><Description>Posted Screw and Reduction Screw</Description><Size>4.5mm - 9.5mm diameter 25mm - 90mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>219169</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB210</BillingCode><Name>CREO One</Name><Description>Monaxial pedicle screw  </Description><Size>Diameter: 5.5 -7.5mm  Length: 35-55mm  </Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB122</BillingCode><Name>CREO MIS Posterior Stabilization System - Bone Screws</Name><Description>Cannulated self-tapping polyaxial screws - Shank</Description><Size>Diameter 4.5-10.5mm, Length 25-120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI472</BillingCode><PriorBillingCodes><PriorBillingCode>NK087</PriorBillingCode></PriorBillingCodes><Name>Polyaxial Pedicle Screws</Name><Description>Polyaxial Pedicle Screws</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI523</BillingCode><Name>CD Horizon™ ModuLeX™ 5.5 Spinal System - Screw Shank </Name><Description>Screw Shank</Description><Size>Diameter: 4.5-7.5mm; Length 30-55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>422153</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU058</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - cannulated polyaxial screw-shank</Name><Description>Modular cannulated polyaxial bone screw shanks, modular cannulated fenestrated polyaxial bone screw shanks</Description><Size>Diameter: 4.5 - 8.5mm  Length: 25 - 60mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY099</BillingCode><PriorBillingCodes><PriorBillingCode>JG010</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Modular Screw</Name><Description>Standard Cannulated</Description><Size>5.5/6.5/7.5mm diameter  30-70mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE664</BillingCode><Name>Mariner Pedicle Screw Shank</Name><Description>Posterior Fixation System</Description><Size>4.5, 5.5, 6.5, 7.5, 8.5, 9.5 and 10.5mm Diameters  25-110mm Length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE788</BillingCode><Name>Mariner Screw</Name><Description>Polyaxial and Extended Tab Uni-Planar Screws  </Description><Size>4.5mm. 5.5mm, 6.5mm &amp; 7.5mm Diameters, 20mm to 110mm Lengths  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH077</BillingCode><Name>Kumafix Pedicle Shank Screw </Name><Description>Shank Screw </Description><Size>Diameter : 5.5 mm - 6.6 mm   Length :     40 mm - 55 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE704</BillingCode><Name>Mariner Cannulated Pedicle Screw Shanks</Name><Description>Posterior Fixation System</Description><Size>4.5-10.5mm Diameters.  20-110mm Lengths.</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE669</BillingCode><Name>icotec Pedicle System Polyaxial Screw</Name><Description>Polyaxial Pedicle Screw</Description><Size>Size(s):4.5, 5.5, 6.5 and 7.5mm diameter   25-60mm length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU154</BillingCode><Name>MUST MINI Cannulated Polyaxial Screw</Name><Description>Cannulated Polyaxial Screw</Description><Size>Diameter: 4 - 6  Length: 10 - 50 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>404164</ARTG><ARTG>291175</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU106</BillingCode><Name>M.U.S.T Polyaxial Pedicle Screws Cannulated</Name><Description>Polyaxial Cannulated Screws</Description><Size>4.5-10mm; Length 25 -100mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU147</BillingCode><Name>M.U.S.T. Fenestrated Polyaxial Cannulated Pedicle Screw</Name><Description>Fenestrated Polyaxial Cannulated Pedicle Screw</Description><Size>Diameter 4.5-10mm, Length 25-100mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW045</BillingCode><Name>WEGO Spinal Systems </Name><Description>Cannulated polyaxial screws </Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH046</BillingCode><Name>Polyaxial Screws</Name><Description>Cannulated</Description><Size>50-110mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ103</BillingCode><PriorBillingCodes><PriorBillingCode>SQ125</PriorBillingCode><PriorBillingCode>SQ125</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - Polyaxial Screw</Name><Description>Pedicle Screw, Iliac Screw, Titanium Alloy</Description><Size>Diameter: 4.5mm - 8.0mm  Length: 25mm - 100mm</Size><SupplierCode>AAE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>289017</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH096</BillingCode><Name>RS8 Long Cannulated Polyaxial Reduction Screw </Name><Description>Cannulated Polyaxial Reduction Screw </Description><Size>Diameter : 5.0 - 7.5 mm   Length : 25 - 120 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH578</BillingCode><Name>Venus Spinal Fixation Systems - Pedicle Screws - Poly Cannulated</Name><Description>Polyaxial Pedicle Screws - Cannulated</Description><Size>D 4.0-8.5mm L 25-100mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH080</BillingCode><Name>ZINA MIS Polyaxial Screw</Name><Description>ZINA MIS Spine System - Cannulated Polyaxial Screw</Description><Size> Diameter x Length ( mm )    4.5×25      4.5×30      4.5×35      4.5×40      4.5×45      4.5×50      4.5×55      4.5×60      4.5×65      5.0×30      5.0×35      5.0×40      5.0×45      5.0×50      5.0×55      5.0×60      5.0×65      5.5×30      5.5×35      5.5×40      5.5×45      5.5×50      5.5×55      5.5×60      5.5×65      6.0×30      6.0×35      6.0×40      6.0×45      6.0×50      6.0×55      6.0×60      6.0×65      6.5×30      6.5×35      6.5×40      6.5×45      6.5×50      6.5×55      6.5×60      6.5×65      7.0×30      7.0×35      7.0×40      7.0×45      7.0×50      7.0×55      7.0×60      7.0×65      7.5×30      7.5×35      7.5×40      7.5×45      7.5×50      7.5×55      7.5×60      7.5×65      8.0×30      8.0×35      8.0×40      8.0×45      8.0×50      8.0×55      8.0×60      8.0×65      8.5×30      8.5×35      8.5×40      8.5×45      8.5×50      8.5×55      8.5×60      8.5×65    </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA009</BillingCode><PriorBillingCodes><PriorBillingCode>OH356</PriorBillingCode></PriorBillingCodes><Name>Medyssey Spinal Fixation System</Name><Description>Cannulated Polyaxial Screw</Description><Size>4.0-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE593</BillingCode><Name>Newport MIS Extended Tab Polyaxial Screw</Name><Description>Cannulated Polaxial Pedicle Screw</Description><Size>4.75, 5.5, 6.5, 7.5, 8.5 and 9.5mm diameter
Lengths 30 - 60mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF113</BillingCode><Name>Freedom Cannulated Pedicle Screws</Name><Description>Polyaxial Cannulated Pedicle Screws</Description><Size>Diameter 5.5 to 7.5mm, lengths from 35 to 55mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY066</BillingCode><PriorBillingCodes><PriorBillingCode>DR048</PriorBillingCode></PriorBillingCodes><Name>Ulrich Medical Pedicle Screw System - Pedicle Screws, polyaxial, cannulated</Name><Description>Ulrich Medical Pedicle Screw System - Pedicle Screws, polyaxial, cannulated</Description><Size>4.5-10.0mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>365230</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC586</BillingCode><Name>CD Horizon Sextant Percutaneous Cannulated Multi Axial Screw</Name><Description>Cannulated titanium percutaneous multi axial screw</Description><Size>Dia 3.5 to 9.5mm, Length 15 to 65mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN324</BillingCode><Name>SYMPHONY OCT System</Name><Description>Polyaxial cannulated screws</Description><Size>3.5-5.5mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY566</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Reduction Screw</Description><Size>4.0mm - 8.00mm; 20mm - 65mm Length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU026</BillingCode><Name>Romeo 2 MIS Posterior Thoraco-lumbar Fixation System - Cannulated Polyaxial Screw</Name><Description>Cannulated polyaxial pedicle screw, perforated cannulated polyaxial pedicle screw</Description><Size>Cannulated Screw -  Diameter: 5mm, 6mm, 7mm  Length: 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm  Perforated Cannulated Screw -  Diameter: 5mm,  6mm, 7mm, 8mm  Length: 35mm, 40mm, 45mm, 50mm, 55mm, 60mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN198</BillingCode><Name>Viper Spine System</Name><Description>Polyaxial, uniplanar cannulated screws</Description><Size>4.35 to 10mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY005</BillingCode><PriorBillingCodes><PriorBillingCode>EV042</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw</Name><Description>Polyaxial Screw</Description><Size>Ø3.5, Ø4.0, Ø4.5  8mm to 50mm in length.</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC968</BillingCode><Name>CD HORIZON Spinal System - Cannulated Multi-Axial Screw</Name><Description>CD HORIZON Cannulated Multi-Axial Screw</Description><Size>Diameter: 4.0mm - 10mm    Length:  20mm - 110mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI036</BillingCode><Name>CD HORIZON Fenestrated Screw</Name><Description>Fenestrated multi-axial screw</Description><Size>Diameter:4.5 - 10.5mm, Length: 30 - 80mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>187126</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB146</BillingCode><Name>CAPITOL Polyaxial Screw</Name><Description>Self-tapping polyaxial screw</Description><Size>3.5 - 4.0mm diameter, 8-26mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU057</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - cannulated polyaxial screw</Name><Description>Cannulated polyaxial screws, cannulated sagittal screws: cannulated /cannulated &amp; fenestrated</Description><Size>Diameter: 4.5-10.5mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY089</BillingCode><PriorBillingCodes><PriorBillingCode>DR034</PriorBillingCode></PriorBillingCodes><Name>Z-Medical Pedicle Screw System - Pedicle Screws, Cannulated</Name><Description>Z-Medical Pedicle Screw - Cannulated (polyaxial and uniplanar)</Description><Size>Dia. (5-8)mm x Length (35-55)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>343676</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER310</BillingCode><Name>Ulrich posterior OCT System (neon3)-Pedicle Screws</Name><Description>Ulrich posterior OCT System (neon3)-Pedicle Screws, non-cannulated, lateral mass screws</Description><Size>dia (3.5-4 mm) x length (10-28 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW724</BillingCode><PriorBillingCodes><PriorBillingCode>ER014</PriorBillingCode></PriorBillingCodes><Name>Denali Spinal System / Polyaxial Pedicle Screw</Name><Description>Polyaxial Pedicle Screw</Description><Size>Diameter: 3.5 - 8.5mm, Length: 10 - 100mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV024</BillingCode><Name>VuePoint screw (multi axial)</Name><Description>Screw (mulit-axial)</Description><Size>3.5 - 5.5mm diameter, 10-40mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB009</BillingCode><Name>DPS Spine System - Polyaxial Pedicle Screw</Name><Description>Polyaxial pedicle screws</Description><Size>Diameter 4/5/6/7mm; Length 25 - 55mm  Wide Angle 5.5/6.0/6.5/7.0/7.5/8.0 mm; Length 25 - 135 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV117</BillingCode><Name>Reline (Reduction Screw)</Name><Description>Reduction Screw</Description><Size>4.0-12.5mm in diameter; 15-120mm in length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV115</BillingCode><Name>Reline (Polyaxial Screw)</Name><Description>Polyaxial Screw</Description><Size>4.0-12.5mm diameter, 15-120mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ146</BillingCode><Name>Evolution Spine Whistler Modular Pedicle Screw System-Pedicle Screw</Name><Description>Evolution Spine Whistler Modular Pedicle Screw System-Pedicle Screw Shank, solid or cannulated, sterile or non-sterile, HA coated or uncoated.</Description><Size>Diameter: 4.75-10.50 mm Length: 25-120 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>445292</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ219</BillingCode><Name>CD HORIZON Spinal System - Multi-Axial Screw</Name><Description>CD HORIZON SOLERA Multi-Axial Screw, HA coated Multi-Axial Screw
</Description><Size>Diameter:  4.0mm - 10.5mm Length: 15mm - 110mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB224</BillingCode><Name>Aesculap Spinal System</Name><Description>Polyaxial Screw - titanium alloy</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV067</BillingCode><Name>Armada (Polyaxial Screws)</Name><Description>Polyaxial screw</Description><Size>Polyaxial Screw 
4.5-10.0mm x 25-120mm
lliac Screw
6.5/7.5/8.5/9.5mm
(60/70/80/90/100mm)
Provisional locking screw size ranges from 
4.0mmx25-45mm,
4.5mmx25-45mm,
5.0mmx25-50mm,
5.5mmx25-55mm,
6.5mmx30-55mm
Uniplanar Screw 5.0/5.5/6.5mm x 25/30/35/40/45/5</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF006</BillingCode><Name>Smartloc Spinal Fixation System/ Polyaxial Pedicle Screw &amp; Reduction Screw</Name><Description>Polyaxial Pedicle Screw and Reduction Screw</Description><Size>Length 30mm – 55mm; Diameter 4.5mm, 5.5mm, 6.0mm, 6.5mm, 7.0mm, 7.5mm, 8.0mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>150778</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV119</BillingCode><Name>Precept (MP Polyaxial Screw)</Name><Description>Polyaxial Screw</Description><Size>4.5-7.5mm diameter; 25-60mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF025</BillingCode><Name>Pedicle Screw</Name><Description>Polyaxial Screw</Description><Size>(5.5 - 7.5)mm x (35-55) mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>288089</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER333</BillingCode><Name>Ulrich Pedicle Screw System-Pedicle Screw, Polyaxial</Name><Description>Ulrich Pedicle Screw System (uCentum)-Pedicle Screw, Polyaxial, standard or long arm, sterile or non-sterile</Description><Size>dia (4.5-10 mm) x length (25-60 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM441</BillingCode><PriorBillingCodes><PriorBillingCode>NK056</PriorBillingCode></PriorBillingCodes><Name>Excella Polyaxial Pedicle Screw</Name><Description>Polyaxial Pedicle Screw</Description><Size>5.5 to 7.5 mm diameter  35 to 60 mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW384</BillingCode><Name>Xia Spine System</Name><Description>Polyaxial Screw</Description><Size>Dia: 4mm - 10.5mm Length: 20mm - 100mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>139620</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY009</BillingCode><Name>Reform POCT Polyaxial Screw</Name><Description>Polyaxial Screw</Description><Size>Length 8mm to 50mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW593</BillingCode><Name>Xia 4.5 CT Polyaxial  Screw</Name><Description>Cortical Thread Polyaxial Screw</Description><Size>Dia 4mm to 6.5mm, length 20mm to 45mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>279160</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW631</BillingCode><Name>Xia Serrato Polyaxial Screw</Name><Description>Polyaxial Screw, Reduction Polyaxial Screw, Medial Biased Angle Screw</Description><Size>Dia 4mm-10.5mm, Length 20mm-130mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>279159</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ054</BillingCode><Name>Centaur Screw System</Name><Description>Polyaxial Screw HA Coated</Description><Size>4mm - 10mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY001</BillingCode><Name>Reform Polyaxial Screw</Name><Description>Polyaxial Screw</Description><Size>Diameter 4.5mm to 10.5mm  Length 25mm to 120mm  Cannulated and Non-Cannulated</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER662</BillingCode><Name>LnK AccelFix Spinal Fixation System-polyaxial screw  </Name><Description>AccelFix S/AccelFix DS/AccelFix SS polyaxial screws, sterile, single or double lead, standard or variable pitch, closed or open, Ti, sterile</Description><Size>Diameter: 4-8,5 mm  Length: 34.2-176.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW745</BillingCode><PriorBillingCodes><PriorBillingCode>ER049</PriorBillingCode></PriorBillingCodes><Name>Everest Spinal System -Pedicle Screw</Name><Description>Polyaxial Pedicle Screw, Ti</Description><Size>Diameter: 4.5mm-10.5mm,  Length: 25mm - 110mm (open or closed)</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>154442</ARTG><ARTG>293862</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW775</BillingCode><PriorBillingCodes><PriorBillingCode>ER476</PriorBillingCode></PriorBillingCodes><Name>Yukon OCT System</Name><Description>Polyaxial Posterior Cervical Screws</Description><Size>3.5-5.0 diameter, length 10-50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ064</BillingCode><Name>Centaur Spinal System</Name><Description>Polyaxial Screw</Description><Size>Diameter 5mm -10mm  Length 20mm -100mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>407189</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ100</BillingCode><Name>RESPONSE Spine System – Polyaxial Screw</Name><Description>Pedicle Polyaxial Screw</Description><Size>4-9mm diameter, 20mm-110mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN263</BillingCode><Name>SYMPHONY OCT System</Name><Description>Polyaxial screws</Description><Size>3.0-5.5mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB012</BillingCode><Name>AnyPlus II Poly Screw</Name><Description>Polyaxial pedicle screws and reduction screws</Description><Size>Diameter:4.5-7.5mm  Length: 35-55mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>353891</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB005</BillingCode><Name>Vertefix II Poly-Axial Screw</Name><Description>Multi/ Poly-Axial Pedicle Screw</Description><Size>Diameters: 5.5, 6.5, 7.5mm length: 35, 40, 45, 50mm</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA012</BillingCode><PriorBillingCodes><PriorBillingCode>OH358</PriorBillingCode></PriorBillingCodes><Name>Medyssey Spinal Fixation System</Name><Description>Polyaxial Screw</Description><Size>4.0-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW015</BillingCode><PriorBillingCodes><PriorBillingCode>ZI994</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Polyaxial Pedicle Screws</Name><Description>Polyaxial Pedicle Screws Titanium</Description><Size>Diameter = 4.0mm-10.5mm  Length= 20mm-120mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER512</BillingCode><PriorBillingCodes><PriorBillingCode>EU001</PriorBillingCode></PriorBillingCodes><Name>e.Spine PEDICULAR SCREW</Name><Description>spine Pedicular Screw for sacral-thoraco-lumbar osteosynthesis</Description><Size>Pedicle or Reduction pedicle;
Diameter 4.35 Length 25 to 55 mm,
Diameter 5 Length 25 to 60 mm,
Diameter 6 Length 25 to 65 mm,
Diameter 6.5 Length 25 to 70 mm,
Diameter 7 Length 30 to 80 mm.</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK225</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Polyaxial Screw</Description><Size>Dia: 3.5mm x Length: 10mm - 40mm  Dia: 4.0mm x Length: 10mm - 50mm  Dia: 4.5mm x Length: 20mm - 52mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ013</BillingCode><Name>Centaur Screw System</Name><Description>Polyaxial Screw</Description><Size>4mm-13mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER620</BillingCode><PriorBillingCodes><PriorBillingCode>OF059</PriorBillingCode></PriorBillingCodes><Name>Centurion Multi-Axial Screws</Name><Description>Multi-Axial and Smooth Shank Multi-Axial Screws</Description><Size>3.5mm Diameter – 10mm - 52mm in 2mm increments  4.0mm Diameter – 10mm - 52mm in 2mm increments  4.5mm Diameter – 10mm – 50mm in 5mm increments  5.0mm Diameter – 10mm – 50mm in 5mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ385</BillingCode><PriorBillingCodes><PriorBillingCode>NK034</PriorBillingCode><PriorBillingCode>LM413</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Screw</Name><Description>Screws</Description><Size>Diameter 3.5mm - 4.5mm  Length 10mm – 42mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM413
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER143</BillingCode><Name>Signus Pedicle Screw System-Pedicle Screw Polyaxial</Name><Description>Signus Pedicle Screw</Description><Size>4.5 - 7.5mm x 30 - 70mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER446</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw, polyaxial</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw; polyaxial; self tapping or non self tapping; standard or reduction; accommodates rods of 5.0, 5.5, 6.0 and 6.35mm in diameter</Description><Size>dia (4.0-8.5mm) x length (20-150mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC545</BillingCode><Name>Vertex Spinal System</Name><Description>Screws</Description><Size>Diameter 3.5 - 4.5mm Length 6 - 52mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC675</BillingCode><Name>CD Horizon</Name><Description>Legacy Screw</Description><Size>Diameter 3.5 - 10.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ763</BillingCode><Name>SIGNUS DIPLOMAT FT Pedicle Screw System-Polyaxial Screw-Shank</Name><Description>SIGNUS DIPLOMAT FT Pedicle Screw System-Polyaxial Screw-Shank, non-sterile and
sterile</Description><Size>Diameter: 5.5-9.5 mm Length: 25-100 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ590</BillingCode><Name>SOCORE Polyaxial Cannulated Pedicle Screw </Name><Description>SOCORE POLYAXIAL CANNULATED SCREW – Fenestrated </Description><Size>Diameter 4.5mm - 8.0mm, Lengths 25mm to 100mm </Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ458</BillingCode><PriorBillingCodes><PriorBillingCode>JQ064</PriorBillingCode></PriorBillingCodes><Name>Invictus SI Core </Name><Description>Polyaxial Pedicle Screw, Cannulated, Dual Lead,  Radial Fenestration.  open or closed tulip. Ti Alloy</Description><Size>( 9.0-11.5)mm Dia x (60-100)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ064
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU153</BillingCode><Name>MUST MINI Polyaxial Screws</Name><Description>Polyaxial Screw</Description><Size>Diameter from 3.5 to 6  Length  from 10 to 50 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>404164</ARTG><ARTG>291175</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU109</BillingCode><Name>M.U.S.T. Polyaxial Pedicle Screws</Name><Description>Polyaxial Screws</Description><Size>4.0 -10mm; length 20 -100mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH045</BillingCode><Name>Polyaxial Screws</Name><Description>Polyaxial &amp; Reduction Polyaxial Screws</Description><Size>20-55mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH076</BillingCode><Name>Adena™ CBT Polyaxial Screw</Name><Description>Cortical Thread Polyaxial Screw</Description><Size>4.0 mm - 6.5 mm Diameter  20 mm - 45 mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU148</BillingCode><Name>M.U.S.T. Fenestrated Polyaxial Pedicle Screw</Name><Description>Fenestrated Polyaxial Pedicle Screw</Description><Size>Diameter 5-10mm, Length 30-90mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH052</BillingCode><Name>Polyaxial Screws</Name><Description>Polyaxial Screws</Description><Size>10-52mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE769</BillingCode><Name>NorthStar OCT  </Name><Description>NorthStar OCT Polyaxial Screw  </Description><Size>3.5, 4.0, 4.5, 5.5mm Diameter  8-40mm Lengths  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW027</BillingCode><Name>WEGO Spinal Systems </Name><Description>Polyaxial screws </Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA014</BillingCode><PriorBillingCodes><PriorBillingCode>OH353</PriorBillingCode></PriorBillingCodes><Name>Novel/Zenius Reduction Poly Screw</Name><Description>Polyaxial Reduction pedicle screw</Description><Size>5.5-8.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH579</BillingCode><Name>Venus Spinal Fixation Systems - Pedicle Screws - Poly Non Cannulated</Name><Description>Venus - Pedicle Screws - Polyaxial Non Cannulated</Description><Size>D 4.0-8.5mm L20-120mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW014</BillingCode><PriorBillingCodes><PriorBillingCode>ZI905</PriorBillingCode></PriorBillingCodes><Name>Virage Pedicle Polyaxial Screws</Name><Description>Pedicle polyaxial screws</Description><Size>3.5mm-5.0mm x 10-45mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH089</BillingCode><Name>Polyaxial Pedicle Screw   </Name><Description>Polyaxial Pedicle Screw </Description><Size>Diameter : 4.5 mm - 9.5 mm   Length : 35 mm - 120 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI466</BillingCode><PriorBillingCodes><PriorBillingCode>NK081</PriorBillingCode></PriorBillingCodes><Name>Non-Cannulated Polyaxial Pedicle Screws</Name><Description>Non-Cannulated Polyaxial Pedicle Screws</Description><Size>4.5mm to 9.5mm diameter</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB079</BillingCode><Name>REVERE Polyaxial Screw</Name><Description>Polyaxial screw</Description><Size>5.5 Titanium, Alloy and Stainless Steel- 4.0-8.5mm x 20mm to 90mm in 5mm increments
5.5 Reduction screws - 5.5mm-7.5mm x 30mm-90mm in 5mm increments
6.35 Titanium Alloy and Stainless Steel - 5.5mm - 90mm x 25mm to 120mm in 5mm increments
5.5 Dual Diameter Screw Titanium Alloy and Stainless Steel - 5.5mm, 6.0mm 7.0mm, 7.5mm x 30mm to 100mm in 5mm increments
6.35 Dual Diameter Screws Titanium Alloy and Stainless Steel - 5.5mm, 6.0mm, 7.0mm, 7.5mm x 30mm to 65mm in 5mm increments
4.0-8.0mm diameter 20-90mm length
4.5 - 6.5mm diameter uniplanar fracture reduction screws, 25-55mm in 5mm increments</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB153</BillingCode><Name>QUARTEX Polyaxial Screws</Name><Description>Polyaxial screws</Description><Size>3.5-5.5mm diameter
8-50mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB043</BillingCode><Name>ELLIPSE Stabilization System, Polyaxial Screw</Name><Description>Polyaxial Bone Screw</Description><Size>3.5mm - 4.5mm diameter 8mm x 50mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU052</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - polyaxial screw</Name><Description>Polyaxial lateral mass screws: polyaxial screws, reduction screws, 25D screws</Description><Size>Diameter (polyaxial screws, reduction screws): 4.5 - 10.5mm. Diameter (25D screws): 4.5 - 6.5mm  Length (polyaxial screws, reduction screws): 25 - 120mm. Length: 25 - 90mm.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC822</BillingCode><Name>CD Horizon</Name><Description>Legacy Multiaxial Iliac Screw</Description><Size>Dia 5.5 to 10.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY705</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Preassembled Polyaxial Pedicle Screw</Description><Size>4.00mm - 9.00mm; 20mm  - 100mm Length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF112</BillingCode><Name>Freedom Polyaxial Screws</Name><Description>Polyaxial reduction screws with standard and extended tabs</Description><Size>Diameter 4.5 to 9.5mm, lengths from 25 to 60mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB090</BillingCode><Name>CREO Stabilization System Preassembled Polyaxial Screw</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.0mm diameter to 10.5mm diameter
20mm to 120mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY289</BillingCode><Name>USS llio-Sacral Fixation system</Name><Description>Polyaxial screw</Description><Size>20mm to 140mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB130</BillingCode><Name>CREO MCS - Polyaxial Screw</Name><Description>Pre-assembled dual outer diameter polyaxial screw</Description><Size>Diameter: 5.0- 6.5 mm, Length 20-45mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU018</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Polyaxial Screw, Reduction Screw, 25D Screw</Name><Description>Polyaxial screw, polyaxial reduction screw</Description><Size>Diameter: 4mm, 5mm, 6mm, 7mm, 8mm  Length: 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 70mm, 80mm, 90mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ944</BillingCode><Name>Expedium Spine System</Name><Description>Polyaxial screws</Description><Size>4.35 - 12mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY083</BillingCode><PriorBillingCodes><PriorBillingCode>DR013</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Pedicle Screw, Polyaxial</Name><Description>Life Spine Pedicle Screw System (Nautilus) - Pedicle Screw, Polyaxial Standard or Reduction</Description><Size>dia (4.5-8.5mm) x length (25-125mm)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ940</BillingCode><Name>Moss Miami Spinal System</Name><Description>Polyaxial Screw</Description><Size>4.35 to 8mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>128257</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU001</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Polyaxial Screw</Name><Description>Polyaxial lateral mass screws: polyaxial screws, smooth shank screws, preferred angle screws</Description><Size>Diameter: 3.5mm, 4.0mm, 4.5 mm Length (polyaxial and preferred angle): 8mm, 10mm, 12mm, 14mm, 16mm, 18mm, 20mm, 24mm, 28mm, 32mm, 36mm, 40mm, 44mm, 48mm, 52mm Length (smooth shank): 18mm, 20mm, 22mm, 24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB211</BillingCode><Name>CREO® Side Loading Polyaxial Screw</Name><Description>Side Loading Polyaxial screw with CoCr head and Ti shank</Description><Size>Diameter: 4.0 - 10.5mm  Length: 20 -120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB191</BillingCode><Name>CREO DLX Polyaxial Screw</Name><Description>Polyaxial screws</Description><Size>Diameter: 4.0mm to 10.5mm  Length: 20mm to 120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF177</BillingCode><Name>Freedom Posterior Screw</Name><Description>Polyaxial Screw</Description><Size>Ø3.5, Ø4.0, Ø4.5  8mm to 50mm in length.</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB080</BillingCode><Name>REVERE TRANSITION HA coated Pedicle Screw</Name><Description>Polyaxial Screw HA Coated, Dual Outer Diameter, Prefered Angle</Description><Size>5.5mm-8.5mm x 35mm - 100mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>196585</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI260</BillingCode><Name>Infinity Spinal System</Name><Description>Multi-Axial Screws</Description><Size>Diameter 3.0 - 5.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER435</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Polyax. Screw</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Polyaxial Screw, standard, semi-reduction and reduction</Description><Size>Dia (3.5-4.0 mm) x length (10-50 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>384816</ARTG><ARTG>286122</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB007</BillingCode><Name>Lumfix Polyaxial Screw</Name><Description>Std or double threaded, std or extended castle  self tapping </Description><Size>(4.0 -8.5)mm diameter x (20-90)mm length </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY056</BillingCode><PriorBillingCodes><PriorBillingCode>DR039</PriorBillingCode></PriorBillingCodes><Name>Tesera Screws</Name><Description>Tesera Fusion Cage Screws</Description><Size>Dia. (3.5 - 5.0mm) x (12-35mm) Length </Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY140</BillingCode><Name>AO/ASIF Spinal Implants</Name><Description>Locking Screws</Description><Size>Length 12 - 55mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI501</BillingCode><Name>Centerpiece 2.0 – Bone Screw</Name><Description>Bone screws</Description><Size>Diameter (2.0mm-2.4mm); Length (3mm-9mm)  </Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ513</BillingCode><Name>Skyline Cervical Plate System</Name><Description>Skyline anterior cervical screw. Titanium</Description><Size>Self tapping 3.8mm, 10-26mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>145290</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB010</BillingCode><Name>TRUSS® Thoracolumbar Variable Angle Screws</Name><Description>Variable Angle screw</Description><Size>5.5m and 6.5mm diameter x 22mm - 57mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC296</BillingCode><Name>Vertex Spinal System</Name><Description>Occipital Screws</Description><Size> 3.0 - 5.0 mm diameter, 4 - 30 mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB192</BillingCode><Name>PROVIDENCE Variable Angle Screws</Name><Description>Variable angled screws, self drilling and self tapping</Description><Size>Length -10mm to 26mm  Diameter - 4.2mm to 4.6mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI261</BillingCode><Name>Infinity Spinal System</Name><Description>Occipital Screws</Description><Size>Diameter 4.5 - 5.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB094</BillingCode><Name>PLYMOUTH Thoracolumbar Plate System Screw</Name><Description>Bone Screw</Description><Size>5.5mm - 6.5mm
22mm - 57mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI498</BillingCode><Name>ZEVO Anterior Cervical Plate System</Name><Description>self-drilling/self-tapping screw</Description><Size>Diameter: 4.5mm; Length 13mm - 15mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB139</BillingCode><Name>Fortify® I-R Corpectomy Spacer System - Screws</Name><Description>Bone Screws, fixed or variable angles, self-tapping or self-drilling</Description><Size>4.2, 3.6, and 5.5mm diameter, 12-60mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI175</BillingCode><Name>Venture Screws</Name><Description>Self drilling and self tapping screws (fixed and variable angle)</Description><Size>4.0mm x 8mm - 21mm; 4.5mm x 8mm - 21mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY009</BillingCode><PriorBillingCodes><PriorBillingCode>EV015</PriorBillingCode></PriorBillingCodes><Name>Evolution ALIF Cage Screw</Name><Description>ThoracoLumbar Cage Bone Screw</Description><Size>5.5mm Diameter, 20-35mm; 6.5mm Diameter, 20-35mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>248233</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY064</BillingCode><PriorBillingCodes><PriorBillingCode>DR041</PriorBillingCode></PriorBillingCodes><Name>Bone Screw </Name><Description>Bone screw, Dual Thread</Description><Size>Diameter (4.0mm); Length (20-35mm)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB052</BillingCode><Name>ELLIPSE® Stabilization System Occipital Screw</Name><Description>Bone Screw</Description><Size>4.0mm to 4.5mm Diameter x 6mm - 16mm Length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI462</BillingCode><Name>PASS LP System Screws</Name><Description>Sacral Screws, Iliosacral Screws</Description><Size>Diameter: 6.5mm - 8MM Length: 25mm - 95mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>295277</ARTG><ARTG>316001</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC310</BillingCode><Name>Centerpiece</Name><Description>TiMesh LP</Description><Size>Screw</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB013</BillingCode><Name>CITADEL® Anterior Variable Angled Bone Screws</Name><Description>Variable Angle screw</Description><Size>22m - 57mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190969</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF169</BillingCode><Name>Wasp ACDF Screw</Name><Description>Wasp Cage - Screw</Description><Size>4.5 and 5mm diameter</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB145</BillingCode><Name>Coalition Anchor</Name><Description>Titanium Anchor for Coalition Spacer</Description><Size>12mm, 14mm and 15mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190040</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB011</BillingCode><Name>TRUSS® Thoracolumbar Fixed Angle Screws</Name><Description>Fixed Angle screw</Description><Size>5.5m and 6.5mm diameter x 22mm - 57mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI515</BillingCode><Name>Anteralign™ - Bone Screws</Name><Description>Titanium bone screw to be used with the Anteralign™ TL cage</Description><Size>Length: 20 mm - 50 mm; Width: 5 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>422154</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI057</BillingCode><Name>Atlantis Anterior Cervical Plate System - Bone Screw</Name><Description>Screws - Self-Tapping / Self-Drilling and Fixed / Variable Angle</Description><Size>Diameter: 4.0mm - 4.5mm; Length 11mm - 17mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB112</BillingCode><Name>ASSURE® Anterior Plate System – Screws</Name><Description>Standard - Self-drilling or Self Tapping 
Rigid – Self Drilling or Self Tapping</Description><Size>Diameter - 4.0 -4.5mm
Length – 10-20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB054</BillingCode><Name>CORRIDOR Fixation System Screw Non Cannulated Screws</Name><Description>Bone Screws</Description><Size>3.5mm - 4.5mm diameter, 30mm - 60mm Length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190041</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU047</BillingCode><Name>Juliet Ti LL screw</Name><Description>Bone screw</Description><Size>Diameter: 5mm, 5.5mm  Length: 45mm, 50mm, 55mm, 60mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>338461</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF162</BillingCode><Name>Nik-Alias Screw</Name><Description>Spine cage screw</Description><Size>20-40mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ514</BillingCode><Name>Skyline Cervical Plate System</Name><Description>Skyline anterior cervical screw.  Titanium</Description><Size>Self Tapping 4.3mm, 10-18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>145290</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI477</BillingCode><PriorBillingCodes><PriorBillingCode>NK092</PriorBillingCode></PriorBillingCodes><Name>Occipital Plate Screws</Name><Description>Occipital Plate Screws</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU029</BillingCode><Name>Tryptik cervical screws</Name><Description>Tryptik cervical screws</Description><Size>Diameter: 4.0 and 4.5 mm;  Length: 12 to 18 mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>166154</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB017</BillingCode><Name>VIP Anterior Cervical Variable Angle Screws</Name><Description>Anterior Cervical Variable Bone Screws</Description><Size>4.6mm - 5.1mm Diameter, 12mm - 20mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190972</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB014</BillingCode><Name>CITADEL® Anterior Fixed Angles Bone Screws</Name><Description>Fixed Angle screw</Description><Size>22mm - 57mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190969</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB160</BillingCode><Name>QUARTEX Occiptal Screws</Name><Description>Occipital Screws</Description><Size>Diameter 4.2mm-4.6mm and Length 6mm-16mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB185</BillingCode><Name>Independence MIS Anchor</Name><Description>Lumbar anchor for use with the Independence Spacer</Description><Size>Diameter: 5.5mm  Length, 25mm, 27mm and 30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190071</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY479</BillingCode><Name>Uniplate ACP System</Name><Description>Primary Screw</Description><Size>12-18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>97391</ARTG><ARTG>128257</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY478</BillingCode><Name>Uniplate ACP System</Name><Description>Rescue Screw</Description><Size>12-18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>128257</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB041</BillingCode><Name>XTEND Variable Angled Screws</Name><Description>Variable Angled Bone Screws</Description><Size>4.2, 4.6 and 5.1mm diameter x 10mm - 20mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU038</BillingCode><Name>Scarlet AL-T Bone Screw</Name><Description>Bone Screw</Description><Size>Diameter 5.0-5.5mm
Length 25-40mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>166154</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC019</BillingCode><PriorBillingCodes><PriorBillingCode>JA026</PriorBillingCode></PriorBillingCodes><Name>Stalif C</Name><Description>Stalif Screws</Description><Size>D: 4.0mm  L: 13 - 17mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC035</BillingCode><Name>uNion and Artus Cervical Plate System Screws</Name><Description>Self-drilling, Rescue (Self-Tapping, Fixed or Variable) and Optional Screws (Self-Drilling/Tapping, Fixed or Variable)</Description><Size>12-18mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>377912</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ121</BillingCode><PriorBillingCodes><PriorBillingCode>DZ088</PriorBillingCode></PriorBillingCodes><Name>CanAce Anterior Cervical Plating System</Name><Description>Spinal Fixation System - Screws</Description><Size>4.0mm / 4.5mm</Size><SupplierCode>WS</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>346439</ARTG><ARTG>346438</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW043</BillingCode><Name>WEGO Spinal Systems</Name><Description>Bone screws</Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FC012</BillingCode><Name>GL-DTRAX Bone Screw</Name><Description>Cortical screw</Description><Size>One Size</Size><SupplierCode>FC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>290978</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE770</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Occipital Screw  </Description><Size>4.0, 4.5mm Diameter  7-16mm Lengths  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC014</BillingCode><PriorBillingCodes><PriorBillingCode>BF023</PriorBillingCode></PriorBillingCodes><Name>Redmond Screw</Name><Description>Variable or constrained self-drilling/self-tapping/oversized screw</Description><Size>Length: 12mm, 13mm, 14mm, 15mm, 16mm, 17mm, 18mm, 20mm   Diameter: 4.0m (self-drilling and self-tapping); 4.5mm (oversized)</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW016</BillingCode><PriorBillingCodes><PriorBillingCode>ZI904</PriorBillingCode></PriorBillingCodes><Name>Virage Occipital Screws</Name><Description>Occipital Screws</Description><Size>4.5mm x 6-16mm, 5.25mm x 6-16mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB006</BillingCode><Name>STACC Cervical Screw</Name><Description>Cervical  Screw</Description><Size>4mm x 14,16 and 18mm</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU167</BillingCode><Name>MUST Mini Occipital Screws</Name><Description>Occipital Bone Screws</Description><Size>Ø 4 and 5 mm. L 6÷16 mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>222456</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH618</BillingCode><Name>HumanTech - Hero Cervical Plate System - Screws</Name><Description>Cervical Plate Screws</Description><Size>D: 4.0mm L: 12 - 18mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>316053</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE660</BillingCode><Name>Shoreline ACS Bone Screws</Name><Description>Self drilling and self tapping bone screws</Description><Size>3.5 and 4.0mm diameters
10-18mm length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE793</BillingCode><Name>Admiral Cervical Plate</Name><Description>Admiral Cervical Plate Screws</Description><Size>4.0 &amp; 4.3mm Diameter, 10-18mm Lengths</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>275780</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH083</BillingCode><Name>Katia Bone Screw</Name><Description>Cancellous Screw   Fixed or Variable Angle</Description><Size>4.0 mm &amp; 4.5 mm   10 mm - 17 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH053</BillingCode><Name>Screw</Name><Description>Occipital Screw</Description><Size>6-12mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FC011</BillingCode><Name>Ally Bone Screw</Name><Description>For use with DTRAX Cages</Description><Size>One size</Size><SupplierCode>FC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>290978</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA019</BillingCode><PriorBillingCodes><PriorBillingCode>OH539</PriorBillingCode></PriorBillingCodes><Name>Spinal Plate Screws</Name><Description>Self-Drilling and Self-Tapping Plate Screws</Description><Size>Diam - 4.0 - 4.5mm
Length - 10 - 16mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>289731</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW042</BillingCode><PriorBillingCodes><PriorBillingCode>BH108</PriorBillingCode></PriorBillingCodes><Name>Anterior Cervical Plate System</Name><Description>Titanium Cancellous Bone Screw</Description><Size>4 - 20mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE653</BillingCode><Name>Vu aPOD Prime Bone Screw</Name><Description>Locking Bone Screw</Description><Size>6.0 and 6.5mm diameter
20, 25 and 30mm length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC018</BillingCode><PriorBillingCodes><PriorBillingCode>JA025</PriorBillingCode></PriorBillingCodes><Name>Centinel Spine</Name><Description>Stalif Bone Screws</Description><Size>D: 4.5 - 6.0mm  L: 25 - 40mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ735</BillingCode><Name>SIGNUS DIPLOMAT Deformity– Lamina Screw</Name><Description>SIGNUS DIPLOMAT Deformity– Lamina Screw, non-sterile and sterile supplied as part of multipack (with hook; clip; shear nut) </Description><Size>5.0-10.0 mm </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ402</BillingCode><PriorBillingCodes><PriorBillingCode>NK103</PriorBillingCode><PriorBillingCode>LM427</PriorBillingCode></PriorBillingCodes><Name>Occipital Screws</Name><Description>Occipital Screws</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM427
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ479</BillingCode><PriorBillingCodes><PriorBillingCode>JA025</PriorBillingCode><PriorBillingCode>JP012</PriorBillingCode></PriorBillingCodes><Name>Centinel Spine</Name><Description>Stalif Bone Screws</Description><Size>D: 4.5 - 6.0mm  L: 25 - 40mm</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP012
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ441</BillingCode><PriorBillingCodes><PriorBillingCode>JQ022</PriorBillingCode></PriorBillingCodes><Name>Insignia Anterior Cervical Plating System </Name><Description>Screw,  fixed/variable angle,  Self-drilling/Self Tapping. Dual lead Ti Alloy</Description><Size>(4 - 4.5)mm diameter x (10- 18)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>398575</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ022
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ440</BillingCode><PriorBillingCodes><PriorBillingCode>JQ021</PriorBillingCode></PriorBillingCodes><Name>Insignia Anterior Cervical Plating System</Name><Description>Screw,  fixed/variable angle,  Self-drilling/Self Tapping. single lead Ti Alloy</Description><Size>(4.0-4.5)mm diameter x (10-18)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>398575</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ021
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ480</BillingCode><PriorBillingCodes><PriorBillingCode>JA026</PriorBillingCode><PriorBillingCode>JP005</PriorBillingCode></PriorBillingCodes><Name>Stalif C</Name><Description>Stalif Screws</Description><Size>D: 4.0mm  L: 13 - 17mm</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP005
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ695</BillingCode><Name>Regatta Screws </Name><Description>The SeaSpine Regatta screws are indicated for use with the Regatta plate system to secure the plate to the spine as additional support during fusion via a lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (T1-S1) spine instability, as the result of fracture, tumour, DDD, scoliosis, kyphosis, lordosis, stenosis or failed previous surgery. </Description><Size>Variable screws 5.5mm &amp; 6.0mm Diameter and Lengths 35, 40, 45, 50, 55, 60 &amp; 65</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>298002</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ389</BillingCode><PriorBillingCodes><PriorBillingCode>NK017</PriorBillingCode><PriorBillingCode>LM461</PriorBillingCode></PriorBillingCodes><Name>Fixcet Spinal Facet Screw</Name><Description>Spinal facet screw</Description><Size>30mm - 45mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM461
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK003</BillingCode><Name>3D Fusion Lumbar Bone Screw</Name><Description>Stand-alone anterior lumbar interbody fusion (ALIF) fixation system: cage, screws and locking caps. The 3D Fusion lumbar bone screw is intended to be used as part of the integral screw fixation system and immobilize and stabilize the 3D fusion lumbar cage to facilitate spinal fusion between two adjacent vertebral bodies. The 3D fusion lumbar bone screws are self-drilling, self-tapping, dual thread bone screws designed to fit with threaded features of the 3D Fusion lumbar Cage to secure and stabilise the fusion cage in place with patient’s endplate anatomy.  </Description><Size>Length – 20mm, 25mm, 30mm, 35mm, 40mm, 45mm    Diameter – 5.5mm, 6mm   </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW741</BillingCode><PriorBillingCodes><PriorBillingCode>ER035</PriorBillingCode></PriorBillingCodes><Name>Caspian OC screw</Name><Description>The Caspian OC screw is used to fixate the Caspian OC plate to the occiput</Description><Size>4.5mm diameter. 6-16mm length in 1mm increments 5.25mm diameter. 6-16mm length in 1mm increments</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB003</BillingCode><PriorBillingCodes><PriorBillingCode>SV063</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Bone Screws with dual thread</Name><Description>Standard with dual thread</Description><Size>12mm x 3.5mm; 4.0 mm  13mm x 3.5mm; 4.0 mm  15mm x 3.5mm; 4.0 mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ053</BillingCode><Name>Aquila Plate System</Name><Description>Bone Screw</Description><Size>10mm-20mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK004</BillingCode><Name>3D fusion cervical screw</Name><Description>The 3D Fusion cervical screw is part of the integral fixation mechanism for the 3D Fusion cervical System (also consisting of the 3D Fusion ACDF Cage and Locking Cap). These components are part of separate applications.    The 3D Fusion ACDF Bone Screws intend to immobilize and stabilize the 3D Fusion ACDF Cage and facilitate spinal fusion between two adjacent lumbar vertebral bodies. The 3D Fusion ACDF Bone Screws are self-drilling, dual thread bone screws designed to fit with integral fixation features of the 3D Fusion cervical system. The threaded locking cap system establishes an intrinsic link between the cage and the fixation screws, creating a rigid locked system, without distortion of the screw head     </Description><Size>Length = 12mm – 20mm  Diameter = 4.0mm &amp; 4.5mm   </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE678</BillingCode><Name>icotec Anterior Cervical Plate System - Screw</Name><Description>Self-tapping bone screws</Description><Size>Diameter: 4mm and 4.25mm  Length: 13mm and 15mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC011</BillingCode><PriorBillingCodes><PriorBillingCode>SF150</PriorBillingCode></PriorBillingCodes><Name>XM Plate Screws</Name><Description>Dual thread screws for XM Plate</Description><Size>Diameter 5.5 &amp; 6.0mm, 20-32mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC006</BillingCode><Name>Alias Cage Screw</Name><Description>Alias Cage - Screw</Description><Size>12-17mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>268797</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY012</BillingCode><PriorBillingCodes><PriorBillingCode>EV027</PriorBillingCode></PriorBillingCodes><Name>Revolution Standalone ACDF bone screw</Name><Description>Anterior cervical fusion cage system Standalone screw</Description><Size>Diameter 4 - 4.5mm  Length 12 -17mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>236041</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI176</BillingCode><Name>Divergence Anterior Cervical Fusion Mini-Plate System</Name><Description>Divergence Miniplate Screw - Dual thread self drilling/self tapping screw</Description><Size>4.0mm x 9-24mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI153</BillingCode><Name>ZEVO Anterior Cervical Plate System</Name><Description>Dual thread, self-drilling/self-tapping screw</Description><Size>Diameter: 3.5mm - 4.5mm; Length 10mm - 24mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH589</BillingCode><Name>Cervical Spine Truss System - Stand Alone  Starloc Screw</Name><Description>Starloc Screw</Description><Size>(3.5-3.85)mm diam x (12-16mm Length</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH758</BillingCode><PriorBillingCodes><PriorBillingCode>LM423</PriorBillingCode></PriorBillingCodes><Name>Silex Bone Screw</Name><Description>Dual-Thread Sacroiliac Locking Screw</Description><Size>7mm x 30-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>228758</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC008</BillingCode><PriorBillingCodes><PriorBillingCode>SF156</PriorBillingCode></PriorBillingCodes><Name>Advantage Dual Thread Screw</Name><Description>Dual thread ALIF cage screw</Description><Size>Diameter 5.5 and 6mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH617</BillingCode><Name>HumanTech - Hero Cervical Plate System - Expansion Head Screws</Name><Description>Cervical Plate Expansion Head Screws</Description><Size>D: 4.0mm L: 12 - 22mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>316053</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU131</BillingCode><Name>Mecta C Screws</Name><Description>Expansion Head Screws</Description><Size>Diameters 4 - 4.5. Length 12 - 22mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>222456</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU133</BillingCode><Name>Mecta C Screws 4x</Name><Description>Expansion Head Screws</Description><Size>Diameters 4 - 4.5. Length 12 - 22 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>222456</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU132</BillingCode><Name>Mecta C Screws 2x</Name><Description>Expansion Head Screws</Description><Size>Diameter 4 - 4.5. Length 12 - 22 mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>222456</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV106</BillingCode><Name>Decade Lateral Plate System (screw)</Name><Description>The Nuvasive Decade Lateral Plate System is indicated for use in the treatment of lumbar and lumbosacral (L1-S1) spine instability.</Description><Size>5.0-6.5mm diameter, length 15-75mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>209200</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV144</BillingCode><Name>Base (Screw)</Name><Description>Bone Screw</Description><Size>5.0-6.0mm diameter, 17.5-30mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB116</BillingCode><Name>Unify Dynamic Anterior Cervical Plate System – Screws</Name><Description>Variable and fixed angle expanding titanium alloy screws</Description><Size>Diameter – 4.2mm and 4.6mm
Length – 10mm – 20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB121</BillingCode><Name>Assure-X Anterior Cervical Plate System - Screws</Name><Description>Variable Angle and Fixed Angle Self-drilling and Self-tapping Expansion Bone Screws</Description><Size>Diameter 4.2-4.6 mm, Length 10-20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER163</BillingCode><Name>Signus Anterior Cervical Plate - Bone Screws</Name><Description>Provides stability in patients undergoing anterior cervical spine fusion procedures. It consists of a pre-contoured titanium plate, secured onto the spinal vertebrae by either fixed or variable angle colour coded screws. These screws have an integral lock</Description><Size>4.0-4.5mm diameter x 12-22mm length</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER352</BillingCode><Name>Ulrich Anterior Distraction Device (ADDplus)-Screws, Osmium, expansion</Name><Description>Ulrich Anterior Distraction Device (ADDplus)-Screws, Osmium, expansion,  include bolt.</Description><Size>dia (4-5 mm) x length (12-18 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER188</BillingCode><Name>SIGNUS Contact Thoracolumbar Plating System-Expansion Screw</Name><Description>SIGNUS Contact Thoracolumbar Plating System-Expansion Screw</Description><Size>6 mm dia, 25-40 mm long in 5 mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Expansion Screw / Expansion Head Screw</Suffix><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV052</BillingCode><Name>Leverage LFS (Bone Screw)</Name><Description>The Leverage LFS, of which the bone screw is a component, is intended for use in the lower cervical and upper thoracic spine (C3 to T3) in laminoplasty procedures. Leverage LFS is used to hold allograft material in place in order to prevent the allograft </Description><Size>2.6/3mm x 5-8mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV169</BillingCode><Name>Modulus ALIF Bolt</Name><Description>Fixation bolt</Description><Size>Diameter: 5-6mm  Length: 15-30mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB069</BillingCode><Name>Aesculap Bone Screws</Name><Description>Titanium alloy</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV163</BillingCode><Name>ACP Screw Fixed Angle</Name><Description>Fixed Angle, self drilling and self tapping</Description><Size>Diameter - 3.5mm to 4.0mm  Length - 11mm to 19mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF023</BillingCode><Name>Redmond Screw</Name><Description>Variable or constrained self-drilling/self-tapping/oversized screw</Description><Size>Length: 12mm, 13mm, 14mm, 15mm, 16mm, 17mm, 18mm, 20mm 
Diameter: 4.0m (self-drilling and self-tapping); 4.5mm (oversized)</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV031</BillingCode><Name>Traverse Bolt</Name><Description>The Traverse system, of which the Traverse bolt is a component, is indicated for use as an adjunct to fusion via a lateral or anterolateral surgical approach, above the bifurcation of the great vessels, in the treatment of thoracic and thoracolumbar (T1-L</Description><Size>6.5mm x (25/30/35/40/45/50/55/60/65mm)
7.5mm x (25/30/35/40/45/50/55/60/65mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132467</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW571</BillingCode><Name>LITe Plate System - Screw</Name><Description>Bone Screw</Description><Size>Dia 5mm-5.5mm, Length 22mm-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>277947</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER187</BillingCode><Name>SIGNUS Contact Thoracolumbar Plating System-Solid Screw</Name><Description>SIGNUS Contact Thoracolumbar Plating System-Solid Screw</Description><Size>Dia 6 mm, length 25-45 mm in 5 mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER576</BillingCode><PriorBillingCodes><PriorBillingCode>OF079</PriorBillingCode></PriorBillingCodes><Name>Cetra Bone Scews</Name><Description>Self tapping and self drilling bone screws</Description><Size>Diameter: 4mm-4.5mm  Length:10mm-20mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV070</BillingCode><Name>Helix-Revolution (screw)</Name><Description>Bone Screw</Description><Size>4 x 11-19mm; 4.5 x 11-19mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>133466</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV107</BillingCode><Name>CoRoent (Screw)</Name><Description>Bone Screw</Description><Size>10-70mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV023</BillingCode><Name>VuePoint Screw (occipital bone)</Name><Description>Bone Screw</Description><Size>4.5-5.0mm diameter, 6-14mm length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV162</BillingCode><Name>ACP Screw - Variable Angle</Name><Description>Variable Angle Bone Screw, self tapping and self drilling</Description><Size>Diameter - 3.5mm - 4.0mm  Length - 11mm to 19mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER548</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti hook bone screw</Name><Description>Bone screw for hook</Description><Size>10.5mm - 13.5mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER624</BillingCode><PriorBillingCodes><PriorBillingCode>OF070</PriorBillingCode></PriorBillingCodes><Name>SKYHAWK Bone Screws</Name><Description>Primary and Rescue Screws</Description><Size>Primary Screw: 5.5 mm diameter,  30mm- 60mm length (in 5mm increments)  Rescue Screw: 6.5 mm diameter, 30mm - 60mm length (in 5mm increments)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER573</BillingCode><PriorBillingCodes><PriorBillingCode>OF013</PriorBillingCode></PriorBillingCodes><Name>Unity Lumbar Plate</Name><Description>Unity Bone Screw</Description><Size>6-7mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM528</BillingCode><Name>Cervical Plate screws</Name><Description>Cervical Plate screws</Description><Size>4/4.5 mm diameter  12-20mm long</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>375813</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW393</BillingCode><Name>Xia Spine System</Name><Description>Bone Screw</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>279150</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER209</BillingCode><Name>SIGNUS  Cervical Plating Implant System-Bone Screw</Name><Description>SIGNUS  Cervical Plating Implant System-Cervical Bone Screw, fixed or variable angle; self drilling or self tapping</Description><Size>dia (2.7-4.3 mm)x length (12-22 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER531</BillingCode><Name>E.SPINE System</Name><Description>TANIT SI Screw, non-sterile or sterile</Description><Size>Diameter: 7mm  Length: 40mm - 120mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER623</BillingCode><PriorBillingCodes><PriorBillingCode>OF060</PriorBillingCode></PriorBillingCodes><Name>Centurion Occipital Bone Screws and Rescue Screws</Name><Description>Occipital Bone screws with non-anodized heads</Description><Size>6mm – 14mm in 2mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW781</BillingCode><PriorBillingCodes><PriorBillingCode>ER495</PriorBillingCode></PriorBillingCodes><Name>Ozark Cervical Plate System Screw</Name><Description>Screw, fixed or variable angle</Description><Size>(4-4.5)mm diameter x (10-26)mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ014</BillingCode><Name>Aquila Plate System</Name><Description>Bone Screw</Description><Size>10-20mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ052</BillingCode><Name>Aurora Screw</Name><Description>Bone Screw</Description><Size>24mm - 32mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER351</BillingCode><Name>Ulrich Anterior Distraction Device (ADDplus)-Screws, Osmium, cancellous</Name><Description>Ulrich Anterior Distraction Device (ADDplus)-Screws, Osmium,cancellous</Description><Size>dia (4-4.5mm) x length (12-26mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER622</BillingCode><PriorBillingCodes><PriorBillingCode>OF015</PriorBillingCode></PriorBillingCodes><Name>Blackstone Medical ACP Bone Screw</Name><Description>Titanium Alloy Bone Screw</Description><Size>4.1mm x 10mm - 18mm. 4.5mm x 10mm - 18mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF170</BillingCode><Name>Hornet ALIF Screw</Name><Description>Hornet Screw</Description><Size>Multiple diameters and lengths</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST914</BillingCode><Name>REFLEX  Anterior Cervical Plating System</Name><Description>Screw</Description><Size>Diameter 4 - 4.5mm lengths 10mm - 20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT020</BillingCode><Name>Unity+ Screws</Name><Description>Titanium bone screw</Description><Size>Diameter: 5mm, 6mm; Length: 30mm - 50mm.</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>320878</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW778</BillingCode><PriorBillingCodes><PriorBillingCode>ER491</PriorBillingCode></PriorBillingCodes><Name>Yukon OCT Spinal System</Name><Description>Occipital Screw</Description><Size>(4.5-5.75)mm dia  x (6-16)mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY032</BillingCode><Name>Osimplant Bone Screw</Name><Description>Bone Screws</Description><Size>Lengths: 12 - 20 mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW409</BillingCode><Name>Aviator Anterior Cervical Plating System - Screw</Name><Description>Anterior Cervical Plate System - Screw</Description><Size>4 - 4.35mm diameter, 10 - 18mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER178</BillingCode><Name>SIGNUS DIPLOMAT DEFORMITY– Lamina Screw</Name><Description>DIPLOMAT DEFORMITY System – Lamina Screw</Description><Size>5.0;7.5;10.0 mm </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT009</BillingCode><Name>AXIS2 Screws</Name><Description>Cervical screws - self-tapping/self-drilling, fixed and variable angle</Description><Size>Diameter: 4.0mm, 4.5mm  Length: 12mm - 18mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>320878</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER572</BillingCode><PriorBillingCodes><PriorBillingCode>OF002</PriorBillingCode></PriorBillingCodes><Name>Azure Anterior Cervical Plate System</Name><Description>Bone Screws</Description><Size>4.0 &amp; 4.5mm diameter  12, 14, 16, 18mm length</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER312</BillingCode><Name>Ulrich posterior OCT System (neon3)-Occipital Screws</Name><Description>Ulrich posterior OCT System (neon3)-Occipital screws, self tapping</Description><Size>dia (5-5.5 mm) x length (6-16 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK223</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Cortical Screws</Description><Size>Dia: 3.5mm x Length: 6mm - 24mm  Dia: 4.0mm x Length: 6mm - 54mm  Dia: 4.5mm x Length: 6mm - 16mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KN001</BillingCode><PriorBillingCodes><PriorBillingCode>JQ023</PriorBillingCode></PriorBillingCodes><Name>AMP Screw</Name><Description>Bone Screw; Ti Alloy</Description><Size>(5.5- 6.5)mm Diameter x (25 - 65)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>398793</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER459</BillingCode><Name>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Screw</Name><Description>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Screw, self tapping or self drilling; fixed or variable</Description><Size>dia (3.5-4.0mm) x length (12-24mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>286127</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ512</BillingCode><Name>Skyline Cervical Plate System</Name><Description>Skyline anterior cervical screw, titanium</Description><Size>Self drilling 4.0 mm, 12-18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU012</BillingCode><Name>Scarlet AC-T Screw, Reduction Screw</Name><Description>Screw, reduction screw</Description><Size>Diameter: 3mm, 3.5mm  Length: 12mm, 14mm, 16mm, 18mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>166154</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC611</BillingCode><Name>Vantage</Name><Description>Vantage Plates and Screws; Thoracic Screw</Description><Size>5.5-10.5 x 15-100mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY007</BillingCode><PriorBillingCodes><PriorBillingCode>EV008</PriorBillingCode></PriorBillingCodes><Name>Evolution ACDF Plate Bone Screw</Name><Description>Bone screw</Description><Size>4.0mm diameter 10-20mm, 4.5mm diameter 10-20mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>248233</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB042</BillingCode><Name>XTEND Fixed Angled Screws</Name><Description>Fixed Angled Bone Screws</Description><Size>4.2, 4.6 and 5.1mm diameter x 10mm - 20mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ138</BillingCode><Name>Evolution Spine EMERGE Plate System- Screws</Name><Description>Evolution Spine EMERGE Plate System- Screws, self-starting and self-drilling</Description><Size>diameter: 3.75-4.25 mm length: 10-26 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>445231</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ449</BillingCode><PriorBillingCodes><PriorBillingCode>JQ049</PriorBillingCode></PriorBillingCodes><Name>Invictus Occipital Screw </Name><Description>Occipital Screw  Ti Alloy</Description><Size>(4.5 - 5.0)mm diameter x (6-16)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ049
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI321</BillingCode><Name>Titan Spine Bone Screws</Name><Description>Titan Spine Bone Screws-Endoskeleton TCS/TAS, standard</Description><Size>dia (3.5-6.5mm) x length (13-35mm)</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>334300</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB016</BillingCode><Name>VIP Anterior Cervical Fixed Angle Screws</Name><Description>Anterior Cervical Fixed Angle Bone Screws</Description><Size>4.6mm - 5.1mm Diameter, 12mm - 20mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190972</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB099</BillingCode><Name>CANOPY Laminoplasty System Screw</Name><Description>Bone and graft screw for Laminoplasty Plate</Description><Size>2.2mm - 3.0mm 
4mm - 12mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>219536</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY013</BillingCode><PriorBillingCodes><PriorBillingCode>EV022</PriorBillingCode></PriorBillingCodes><Name>Revolution ACDF Plate Screw</Name><Description>Anterior Cervical Bone Screws</Description><Size>Fixed and Variable Angle. Diameter 4 - 4.5mm. Length 10 - 20mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>236041</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC613</BillingCode><Name>Vantage</Name><Description>Vantage Plates and Screws; ATL Screw</Description><Size>6.5 x 30-55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC988</BillingCode><Name>Sovereign Spinal System - Screws</Name><Description>Sovereign Spinal System - Screws</Description><Size>20 - 35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC656</BillingCode><Name>Pyramid</Name><Description>Pyramid Bone Screws</Description><Size>6.5mm Diameter, 20 -60mm length in 5mm increments</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ519</BillingCode><Name>AEGIS ALP</Name><Description>AEGIS ALP Bone Screws, Titanium</Description><Size>24-36mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>128257</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB107</BillingCode><Name>InterContinental HA Screws</Name><Description>HA Coated Bone Screws</Description><Size>5.5mm x 30mm - 60mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY381</BillingCode><Name>Axon Occipital Fusion System</Name><Description>Occipital Screws 4.5mm / 5.0mm diameter
Titanium Alloy</Description><Size>Length 4 - 18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY065</BillingCode><PriorBillingCodes><PriorBillingCode>DR042</PriorBillingCode></PriorBillingCodes><Name>Bone Screws</Name><Description>Bone Screws</Description><Size>3-4mm, 12-14mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY008</BillingCode><PriorBillingCodes><PriorBillingCode>EV011</PriorBillingCode></PriorBillingCodes><Name>Evolution ACDF Cage Bone Screw</Name><Description>Bone screw for fusion cages</Description><Size>4.0 diameter, 12-16mm; 4.5 diameter, 12-16mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>248233</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB033</BillingCode><Name>REVERE Bone Screw, Anterior Plate</Name><Description>Bone Screw</Description><Size>5.5mm - 7.5mm Diameter x 25mm - 50mm Length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB193</BillingCode><Name>PROVIDENCE Fixed Angle Screws</Name><Description>Fixed angled screws, self-drilling and self-tappiing</Description><Size>Length - 10mm to 26mm  Diameter - 4.2mm to 4.6mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY299</BillingCode><Name>Spinal Fixation System – Screws</Name><Description>Vectra Screws - variable and fixed angle</Description><Size>Length 12-18 mm; Diameter 4.0, 4.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU055</BillingCode><Name>Perla Posterior Occipito-Cervico-Thoracic fixation system - occipital screw</Name><Description>Occipital screw</Description><Size>Diameter: 4.5, 5 mm. Length: 6 - 16 mm.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW043</BillingCode><PriorBillingCodes><PriorBillingCode>ZI950</PriorBillingCode></PriorBillingCodes><Name>Timberline Lateral Fusion System</Name><Description>Bone Screws</Description><Size>30-60mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH087</BillingCode><Name>Ceplate Anterior Cervical System - Bone Screw </Name><Description>Screws - Self-Tapping / Self-Drilling and Fixed / Variable Angle</Description><Size>Diameter: 4.0mm - 4.5mm; Length 11mm - 17mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>366091</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU136</BillingCode><Name>M.U.S.T Screws for Pedicle Hooks</Name><Description>Bone Screws</Description><Size>Ø 3,5; L 15 - 20 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>222456</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE628</BillingCode><Name>Zuma bone screw</Name><Description>Bone screw</Description><Size>5.5mm - 6.0mm x 20mm - 35mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>275780</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU015</BillingCode><Name>Tryptik 2 Screw</Name><Description>Self-tapping screws, self-drilling screws - variable and fixed angle</Description><Size>Diameter: 4.0mm, 4.5mm
Length: 12mm, 14mm, 16mm, 18mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>166154</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY087</BillingCode><PriorBillingCodes><PriorBillingCode>DR032</PriorBillingCode></PriorBillingCodes><Name>Choice Spine Cervical Screw</Name><Description>Screw for cervical plate (Variable, Fixed &amp; Rescue)</Description><Size>4.0mm - 4.5mm x 10mm - 18mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>330080</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI032</BillingCode><Name>Fortilink®-SA Screw</Name><Description>Self-drilling and self-tapping bone screws</Description><Size>Diameter 4.5mm-5.5mm  Length 20-35mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV096</BillingCode><Name>Brigade Bone Screw</Name><Description>Anterior plate bone screw</Description><Size>5.5/6.5 x 20-35mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH747</BillingCode><PriorBillingCodes><PriorBillingCode>LM498</PriorBillingCode></PriorBillingCodes><Name>Sacral Screw</Name><Description>Sacral Screw</Description><Size>Diameter 6.5 &amp; 7.5mm  Length 30 - 70 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV044</BillingCode><Name>Helix Bone Screw</Name><Description>The Helix system, of which the Helix bone screw is a component, is intended for anterior screw fixation  of the cervical spine. These implants have been designed to provide stabilisation as an adjunct to cervical fusion. Indications for the use of this im</Description><Size>4.0mm x (11/13/15/17/19mm)
4.5mm x (13/15/17/19mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV093</BillingCode><Name>Helix-T (Bone Screw)</Name><Description>Anterior cervical plate bone screw</Description><Size>4/4.5x11-19mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB004</BillingCode><Name>Bone Screws</Name><Description>Bone Screws</Description><Size>Diameter:2.0-4.35mm, Length: 6-18mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH706</BillingCode><Name>Ultio Laminoplasty Screw</Name><Description>Screw, self drilling, self tapping</Description><Size>4-20mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>275605</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI041</BillingCode><Name>Fortilink®-SC Screws</Name><Description>Self drilling and self tapping bone screws</Description><Size>Diameter: 3.4-3.9mm  Length: 12-16mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV166</BillingCode><Name>3DP Interfixated ALIF Bolt</Name><Description>Bone Screw</Description><Size>5.0 - 6.0mm X 15-25mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF011</BillingCode><Name>WinLoc Cervical Plate System - screw</Name><Description>Variable self drilling screw/self tapping screw/oversized screw, expandable screw</Description><Size>Length: 12mm, 14mm, 16mm, 18mm
Diameter:  4.0mm, 4.5mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>218438</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV041</BillingCode><Name>Helix Mini bone screw</Name><Description>The Helix Mini system, of which the Helix Mini bone screw is a component, is intended for anterior screw fixation of the cervical spine. These implants have been designed to provide stabilisation as an adjunct to cervical fusion. Indications for the use o</Description><Size>4.0mm x (11/13/15mm)
4.5mm x (11/13/15mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI038</BillingCode><Name>Shark CP Locking Plate Screws</Name><Description>Self drilling screws, variable or fixed angle, titanium alloy. </Description><Size>4 - 4.5mm diameter, 12-22mm length </Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>345367</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV034</BillingCode><Name>Traverse Bone Screw</Name><Description>The Traverse system, of which the Traverse bone screw is a component, is indicated for use as an adjunct to fusion via a lateral or anterolateral surgical approach, above the bifurcation of the great vessels, in the treatment of thoracic and thoracolumbar</Description><Size>5.5mm x (25/30/35/40/45/50/55/60/65mm)
6.5mm x (25/30/35/40/45/50/55/60/65mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>132467</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV039</BillingCode><Name>Halo Bone Screw</Name><Description>The Halo System, of which the Halo bone screw  is a component, is indicated for use via a lateral or anterolateral surgical approach above the bifurcation of the great vessels in the treatment of thoracic and thoracolumbar (T1-L5) spine instability or via</Description><Size>5.5mm x (20/22/24/26/28/30/32/34mm)
6.5mm x (20/22/24/26/28/30/32/34mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH558</BillingCode><Name>Atlas (Anterior Odontoid Fixation System)</Name><Description>Cannulated Bone Screw</Description><Size>(4.0 - 4.5)mm diameter  x  (28-55)mm  length</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>275605</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB058</BillingCode><Name>ZYFUSE Facet Fixation System Screw with washer</Name><Description>Facet Screw</Description><Size>5.0 - 6.0mm diameter x 30 - 60mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196053</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB059</BillingCode><Name>ZYFUSE Facet Fixation System Screw</Name><Description>Facet Screw</Description><Size>5.0 - 6.0mm diameter x 30 - 60mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>196053</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC448</BillingCode><Name>UCSS</Name><Description>Cortical Lag Screws</Description><Size>36 - 50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC447</BillingCode><Name>UCSS</Name><Description>Cortical Screws </Description><Size>30 - 50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB053</BillingCode><Name>CORRIDOR Fixation System Screw Cannulated Screws</Name><Description>Bone Screws</Description><Size>3.5mm - 4.5 diameter. 3
0mm - 60mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>190041</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY148</BillingCode><Name>Universal Spine System (USS)</Name><Description>Pedicle Hook Screw</Description><Size>Length 20- 40mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI483</BillingCode><PriorBillingCodes><PriorBillingCode>NK075</PriorBillingCode></PriorBillingCodes><Name>PASS Spinal System Screw</Name><Description>PASS Spinal System Closed Iliac Screw</Description><Size>all sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC462</BillingCode><Name>Zephir</Name><Description>Cancellous Screw</Description><Size>13-17mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV099</BillingCode><Name>Archon Plate (Bone Screw)</Name><Description>The Archon system, of which the bone screw is a component, is intended for anterior screw fixation of the cervical spine. These implants have been designed to provide stabilisation as an adjunct to cervical fusion.</Description><Size>4/4.5 x 10-23mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC012</BillingCode><PriorBillingCodes><PriorBillingCode>BF014</PriorBillingCode></PriorBillingCodes><Name>Redmond Lumbar Cage System - Locking screw, closed</Name><Description>Titanium screw</Description><Size>Diameter: 5.5mm; Length: 15, 20, 25, 30, 35mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Closed</Suffix><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER374</BillingCode><Name>Ulrich Sacroiliac Joint Fixation Device</Name><Description>Ulrich Sacroiliac Joint Fixation Device-Bone Screw</Description><Size>dia (7.5-10 mm) x length (40-140 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER321</BillingCode><Name>Ulrich posterior OCT System (neon3)-Toggle</Name><Description>Ulrich posterior OCT System (neon3)-Toggle, incl. nut and washer</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF100</BillingCode><Name>Advantage Cage System, Screw</Name><Description>Cage Screw</Description><Size>4.5mm and 5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI320</BillingCode><Name>Titan Spine Bone Screws-locking</Name><Description>Titan Spine Endoskeleton TCS Bone Screws-locking</Description><Size>dia (3.5-3.8mm) x length (13-20mm)</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>334300</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI178</BillingCode><Name>Divergence Anterior Cervical Fusion Standalone System</Name><Description>Divergence anterior cervical fusion system Standalone screw</Description><Size>4.0mm x 9 -17mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF063</BillingCode><Name>Aurora Screw</Name><Description>Bone Screw</Description><Size>20-36mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF168</BillingCode><Name>Spoiler ALIF Dual thread Screw</Name><Description>Dual Thread ALIF Cage Screw</Description><Size>5.5 and 6mm screws</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI177</BillingCode><Name>Divergence Anterior Cervical Fusion Mini-Plate System</Name><Description>Divergence Miniplate Screw - Dual thread self drilling/self tapping screw</Description><Size>3.5mm x 9-24mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI170</BillingCode><Name>Divergence-L Anterior/Oblique Lumbar Fusion System </Name><Description>Self-drilling and Self-tapping Screws</Description><Size>20-40 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY006</BillingCode><PriorBillingCodes><PriorBillingCode>EV031</PriorBillingCode></PriorBillingCodes><Name>Evolution Altus Dual Thread Screw</Name><Description>Thoraco Lumbar Cage Dual Thread Bone Screw</Description><Size>diameter: 5.5 - 6mm  Length: 20 - 35mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>236041</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY092</BillingCode><PriorBillingCodes><PriorBillingCode>EV034</PriorBillingCode></PriorBillingCodes><Name>ACDF cage screw</Name><Description>ACDF cage screw</Description><Size>12-17mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>248233</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF105</BillingCode><Name>Alias Cage Screw</Name><Description>Alias Cage - Screw</Description><Size>12-17mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY093</BillingCode><PriorBillingCodes><PriorBillingCode>EV035</PriorBillingCode></PriorBillingCodes><Name>ALIF cage screw</Name><Description>ALIF cage screw</Description><Size>Diameter 5.5 and 6mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>248233</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI179</BillingCode><Name>Divergence Anterior Cervical Fusion Standalone System</Name><Description>Divergence anterior cervical fusion system Standalone screw</Description><Size>3.5mm x 9 -17mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI481</BillingCode><PriorBillingCodes><PriorBillingCode>NK151</PriorBillingCode></PriorBillingCodes><Name>Fusion Cage Screws</Name><Description>Fusion Cage Screws</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>295284</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW773</BillingCode><PriorBillingCodes><PriorBillingCode>ER474</PriorBillingCode></PriorBillingCodes><Name>KEYS Supplemental Screw</Name><Description>Dual lead thread bone screw</Description><Size>5.5 - 6.0mm diameter, length 20-40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ043</BillingCode><Name>Australis Spine System</Name><Description>Bone Screw</Description><Size>15mm-45mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY020</BillingCode><Name>Slimplicity HP Screws</Name><Description>Screws</Description><Size>12mm - 18mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW732</BillingCode><PriorBillingCodes><PriorBillingCode>ER023</PriorBillingCode></PriorBillingCodes><Name>Cayman Thoracolumbar Plate System / Bone Screw</Name><Description>Self tapping screw, Ti</Description><Size>Length: 20mm to 60mm  Diameter:  5mm and 7mm, titanium</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ058</BillingCode><Name>Aurora Spinal System</Name><Description>Dual thread screw</Description><Size>5.5-6.0mm diameter x 24-28mm length</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>335884</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW725</BillingCode><PriorBillingCodes><PriorBillingCode>ER016</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Cervical Plate System - Screw</Name><Description>Self-drilling, self-tapping and bone reduction screws</Description><Size>(3.5 - 4.7)mm diam x (10-20)mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW777</BillingCode><PriorBillingCodes><PriorBillingCode>ER490</PriorBillingCode></PriorBillingCodes><Name>Cayman United Bone Screw</Name><Description>Bone Screw</Description><Size>Length 20-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ016</BillingCode><Name>Aurora Spine System</Name><Description>Bone screw</Description><Size>20mm - 36mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ061</BillingCode><Name>Aquila Spinal System</Name><Description>Bone Screw</Description><Size>10mm-20mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>398970</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI188</BillingCode><Name>PIVOX Oblique Lateral Spinal System</Name><Description>Bone Screw</Description><Size>Length: 20-50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF150</BillingCode><Name>XM Plate Screws</Name><Description>Dual thread screws for XM Plate</Description><Size>Diameter 5.5 &amp; 6.0mm, 20-32mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF156</BillingCode><Name>Advantage Dual Thread Screw</Name><Description>Dual thread ALIF cage screw</Description><Size>Diameter 5.5 and 6mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Dual Thread</Suffix><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ559</BillingCode><Name>Artus/uNion Screws</Name><Description>Fixation Screws for the uNion/Artus Plates</Description><Size>12-18mm Length, 4.0-4.5mm Dia</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>464109</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ419</BillingCode><PriorBillingCodes><PriorBillingCode>NK007</PriorBillingCode><PriorBillingCode>LM402</PriorBillingCode></PriorBillingCodes><Name>Spider Cervical Plating System - Spider Screw</Name><Description>Titanium, Self Tapping and Self Drilling</Description><Size>4.0 - 4.25mm, lengths 12-16mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>159605</ARTG><ARTG>160750</ARTG><ARTG>170220</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM402
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ390</BillingCode><PriorBillingCodes><PriorBillingCode>NK021</PriorBillingCode><PriorBillingCode>LM462</PriorBillingCode></PriorBillingCodes><Name>Fixcet Spinal Facet Screw</Name><Description>Spinal facet screw</Description><Size>25mm - 45mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM462
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ681</BillingCode><Name>Skyway Screws</Name><Description>Self Drilling Bone Screws</Description><Size>12-18mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>462407</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY068</BillingCode><PriorBillingCodes><PriorBillingCode>DR050</PriorBillingCode></PriorBillingCodes><Name>Ulrich Medical Pedicle Screw System - Locking Screw</Name><Description>Ulrich Medical Pedicle Screw System - Locking Screw</Description><Size>One Size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>365230</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY440</BillingCode><Name>Synapse</Name><Description>Locking Screw</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN267</BillingCode><Name>SYMPHONY OCT System</Name><Description>Set screws and locking nut</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC615</BillingCode><Name>Vantage</Name><Description>Vantage Plates and Screws; Lock Nut</Description><Size>One Size Only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB123</BillingCode><Name>CREO MIS Posterior Stabilization System - Locking Cap</Name><Description>Threaded Locking Cap</Description><Size>9mm diameter</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY286</BillingCode><Name>USS llio-Sacral Fixation system</Name><Description>Locking Screw</Description><Size>one size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB147</BillingCode><Name>CAPITOL Locking Cap</Name><Description>Non-threading locking cap</Description><Size>One size only</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU002</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Set Screw</Name><Description>Set screws for Perla spinal fixation system: set screws, extended set screws, hexagonal set screws</Description><Size>One size only</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ381</BillingCode><PriorBillingCodes><PriorBillingCode>NK035</PriorBillingCode><PriorBillingCode>LM414</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Cap</Name><Description>Cap</Description><Size>One Size Only</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM414
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY078</BillingCode><PriorBillingCodes><PriorBillingCode>DR008</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Locking Cap</Name><Description>Life Spine Screw System (Nautilus, Avatar) - Locking Caps</Description><Size>One Size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY090</BillingCode><PriorBillingCodes><PriorBillingCode>DR035</PriorBillingCode></PriorBillingCodes><Name>Z-Medicle Pedicle Screw System - Locking Screw</Name><Description>Z-Medicle Pedicle Screw System - Locking Screw</Description><Size>One Size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>343676</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI262</BillingCode><Name>Infinity Spinal System</Name><Description>Set screw</Description><Size>Standard, flat</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY152</BillingCode><Name>Universal Spine System (USS)</Name><Description>Set Screw</Description><Size>Standard</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB023</BillingCode><Name>REVERE Locking Cap</Name><Description>Locking Cap</Description><Size>4.5, 5.5 and 6.35mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ456</BillingCode><PriorBillingCodes><PriorBillingCode>JQ042</PriorBillingCode></PriorBillingCodes><Name>Invictus Set Screw </Name><Description>Locking Set Screw  Ti Alloy</Description><Size>3.5mm - 6.5mm  polyaxial screw set screws, open or closed</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ042
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ942</BillingCode><Name>Moss Miami Spinal System</Name><Description>Inner and outer screw, nuts and set screws</Description><Size>3 - 6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>145010</ARTG><ARTG>128257</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ391</BillingCode><PriorBillingCodes><PriorBillingCode>NK010</PriorBillingCode><PriorBillingCode>LM405</PriorBillingCode></PriorBillingCodes><Name>Fortex Pedicle Screw Set Screw</Name><Description>Pedicle Screw Set</Description><Size>3.1mm height</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>160750</ARTG><ARTG>159605</ARTG><ARTG>170220</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM405
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB154</BillingCode><Name>QUARTEX Locking Cap</Name><Description>Threaded locking cap</Description><Size>One size only</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI468</BillingCode><PriorBillingCodes><PriorBillingCode>NK083</PriorBillingCode></PriorBillingCodes><Name>Locking Nut</Name><Description>Locking Nut</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB190</BillingCode><Name>CREO DLX Threaded Locking Cap</Name><Description>Threaded Locking Cap</Description><Size>One Size Only</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF107</BillingCode><Name>Freedom Set Screw</Name><Description>Freedom Set Screw</Description><Size>5.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC609</BillingCode><Name>CD Horizon Spinal System</Name><Description>Percutaneous Set Screw</Description><Size>4.5 to 6.35mm dia</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC546</BillingCode><Name>Vertex Spinal System</Name><Description>Set screw</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC399</BillingCode><Name>TSRH Spinal Implant System</Name><Description>3D - Nut, Eyebolt locknot, locknut 1/2 inch, locking screws, double hex, flush break, universal breakoff</Description><Size>Each in one size</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY100</BillingCode><PriorBillingCodes><PriorBillingCode>JG012</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Set Screw</Name><Description>Standard Cannulated</Description><Size>9.8mm diameter</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY383</BillingCode><Name>Synmesh</Name><Description>Locking Screw, Low Profile, For Synmesh End Rings</Description><Size>Small, Large</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI522</BillingCode><Name>CD Horizon™ ModuLeX™ 5.5 Spinal System - Set Screw </Name><Description>Set Screw</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>422155</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY010</BillingCode><Name>Katana Setscrew</Name><Description>The Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine.</Description><Size>standard</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY186</BillingCode><Name>Posterior Cervical System</Name><Description>Nut</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133919</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC504</BillingCode><Name>CD Horizon</Name><Description>Breakoff Set Screw</Description><Size>25 - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC394</BillingCode><Name>CD Horizon</Name><Description>Set screw</Description><Size>Each in one size</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF027</BillingCode><Name>Locking Element</Name><Description>Locking Element for Screws and Connectors</Description><Size>std or 45 degree</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>288089</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH749</BillingCode><PriorBillingCodes><PriorBillingCode>LM496</PriorBillingCode></PriorBillingCodes><Name>Nut for Screw or connector</Name><Description>Nut for screw or connector</Description><Size>one size for each type</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH711</BillingCode><Name>Athena Nut</Name><Description>Buttress Locking Cap for poly axial tulip</Description><Size>Standard - one size only</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>337150</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI044</BillingCode><Name>HPS™ 2.0 Set Screw</Name><Description>Set Screw</Description><Size>One size only</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV085</BillingCode><Name>Precept (Lock Screw)</Name><Description>Lock Screw</Description><Size>one size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV061</BillingCode><Name>Armada (Lock Screw)</Name><Description>Lock screw</Description><Size>One Size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH486</BillingCode><Name>DSS HP Spinal System - Set Screw</Name><Description>Set Screw</Description><Size>one size</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>186733</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV113</BillingCode><Name>Reline (Lock Screw)</Name><Description>Lock Screw</Description><Size>Open or Closed</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB038</BillingCode><Name>DPS Spine System  Single Locking Nut</Name><Description>Locking nut for pedicle screw.</Description><Size>One size</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC667</BillingCode><Name>SiLo</Name><Description>Set Screw</Description><Size>One Size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW018</BillingCode><PriorBillingCodes><PriorBillingCode>ZI995</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Set Screw</Name><Description>SET SCREW</Description><Size>One size only</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER141</BillingCode><Name>Signus Pedicle Screw System-Set Screw</Name><Description>Set Screw - as part of Signus Pedicle Screw System Construct</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER287</BillingCode><Name>Premia Spine Versalink Fixation System-Ring Nut/set screws</Name><Description>Premia Spine Versalink Fixation System-Nut/set screws</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>267145</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER408</BillingCode><Name>LnK MIS Spinal System/PathLoc-L  MIS Spinal System-Set Screw</Name><Description>LnK MIS Spinal System/PathLoc-L MIS Spinal System-Set Screw</Description><Size>dia 9.7mm x height 5.6mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>286124</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC674</BillingCode><Name>CD HORIZON Spinal System - Set Screw</Name><Description>Set Screw</Description><Size>3.5mm - 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB008</BillingCode><Name>Lumfix Set Screw</Name><Description>Std or Saddle </Description><Size>9.9 mm outer diameter , 5.5 or 6mm rod  </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER335</BillingCode><Name>Ulrich Pedicle Screw System-Locking screws</Name><Description>Ulrich Pedicle Screw System (uCentum)-Locking screws, sterile and non-sterile</Description><Size>Diameter 9.9 mm, height 4.6 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ122</BillingCode><Name>RESPONSE Spine System - BandLoc Screw</Name><Description>Set Screw</Description><Size>Large</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA016</BillingCode><PriorBillingCodes><PriorBillingCode>OH351</PriorBillingCode></PriorBillingCodes><Name>Medyssey set screw</Name><Description>Set screw</Description><Size>9.5 - 10mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ915</BillingCode><Name>Expedium Spine System</Name><Description>Si and Unitised Screw Set</Description><Size>4.35 -7.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT013</BillingCode><Name>SOLFIX2 Set Screw</Name><Description>Set screw</Description><Size>One size</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER181</BillingCode><Name>SIGNUS DIPLOMAT DEFORMITY – Shear Nut</Name><Description>DIPLOMAT DEFORMITY – Shear Nut</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ145</BillingCode><Name>Evolution Spine Whistler Modular Pedicle Screw System-Locking Cap</Name><Description>Evolution Spine Whistler Modular Pedicle Screw System-Locking Cap, solid or cannulated</Description><Size>for 5.5 or 6.0 mm rods</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>445290</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE671</BillingCode><Name>icotec Pedicle System Set Screw</Name><Description>Set screw</Description><Size>one size only</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>283854</ARTG><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB003</BillingCode><Name>Vertefix II Locking Screw</Name><Description>Set/Locking Screw</Description><Size>One size only</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH574</BillingCode><Name>Samson - Expandable Vertebral Body Replacement - End Plate Screw</Name><Description>End Plate Screw</Description><Size>One Size</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>316057</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ102</BillingCode><Name>RESPONSE Spine System – Set Screw</Name><Description>Set Screw</Description><Size>Small, Large</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW001</BillingCode><Name>WEGO Spinal Systems </Name><Description>Break off set screw </Description><Size>5.5 mm</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH581</BillingCode><Name>Venus Spinal Fixation System - Nut/Set Screw/Locking Screw</Name><Description>Venus - Nut/Set Screw/Locking Screw</Description><Size>Various Sizes</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC016</BillingCode><PriorBillingCodes><PriorBillingCode>BF017</PriorBillingCode></PriorBillingCodes><Name>Redmond Lumbar Cage System - Locking Cap</Name><Description>Titanium locking cap</Description><Size>Diameter: 3mm; Length: 4mm or 6mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU107</BillingCode><Name>M.U.S.T. Set Screw</Name><Description>Set Screw</Description><Size>One Size</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH098</BillingCode><Name>RS8 Long Set Screw </Name><Description>RS8 Long Set Screw </Description><Size>Diameter : 9.5 mm / 10 mm   Length : 4.5 mm / 5.0 mm / 9.3 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE661</BillingCode><Name>Shoreline ACS Locking Cover</Name><Description>Locking cover for fixation of bone screws</Description><Size>5-12mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH092</BillingCode><Name>Set Screw </Name><Description>Set Screw </Description><Size>Diameter : 9.5 mm &amp; 10 mm   Length : 4.5 mm - 9.3 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW028</BillingCode><Name>WEGO Spinal Systems </Name><Description>Set screws </Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH060</BillingCode><Name>Break off set screw and/or screw nut</Name><Description>Break off set screw, screw nut</Description><Size>5.5mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW017</BillingCode><PriorBillingCodes><PriorBillingCode>ZI906</PriorBillingCode></PriorBillingCodes><Name>Virage Closure Top</Name><Description>Closure Top and dome nut</Description><Size>One Size</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE666</BillingCode><Name>Mariner Set Screw</Name><Description>Set Screw</Description><Size>1 size</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE762</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Set Screw</Description><Size>One Size</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU162</BillingCode><Name>MUST MINI Screws</Name><Description>Set Screw / Locking Screw</Description><Size>Varius</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU019</BillingCode><Name>Romeo 2/Romeo 2 MIS Posterior Thoraco-lumbar Fixation System - Set Screw</Name><Description>Set screw</Description><Size>One size only</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY039</BillingCode><PriorBillingCodes><PriorBillingCode>DE538</PriorBillingCode></PriorBillingCodes><Name>Jazz Claw Posterior Fixation System (Set Screw)</Name><Description>Set Screw</Description><Size>one size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ106</BillingCode><PriorBillingCodes><PriorBillingCode>SQ127</PriorBillingCode><PriorBillingCode>SQ127</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - Set Screw</Name><Description>Titanium Alloy</Description><Size>Diameter: 5.0mm - 7.0mm</Size><SupplierCode>AAE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>289017</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ916</BillingCode><Name>Mountaineer Spinal System</Name><Description>Inner screws and out nuts</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>128257</ARTG><ARTG>145290</ARTG><ARTG>128255</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY796</BillingCode><Name>Vertebral Body Replacement System</Name><Description>Endplate Screw</Description><Size>One Size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY174</BillingCode><Name>Universal Spine System (USS)</Name><Description>Nut</Description><Size>Standard</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ656</BillingCode><Name>SI Set Screw - Expedium Anterior Spine System</Name><Description>Single Innie Set Screw - Titanium</Description><Size>one size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF172</BillingCode><Name>Freedom Posterior Set Screw</Name><Description>Freedom Posterior Set Screw</Description><Size>Various</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY308</BillingCode><Name>Axon Spinal System</Name><Description>Locking Set screw</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI459</BillingCode><Name>PASS LP System - Nut/Set Screw</Name><Description>Breakaway Nut, Break off set screw, Revision Post and Nut Set Screw</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>295277</ARTG><ARTG>316001</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB005</BillingCode><PriorBillingCodes><PriorBillingCode>SV072</PriorBillingCode></PriorBillingCodes><Name>Set Screw</Name><Description>Set screw with cross connector kit</Description><Size>One Size</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY107</BillingCode><Name>Carbon Fibre Cages</Name><Description>Stackable Cage Titanium Interface Screw Nuts</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>98094</ARTG><ARTG>128257</ARTG><ARTG>128255</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ647</BillingCode><Name>Expedium Spine System</Name><Description>EXPEDIUM Dual Innie Setscrew and Correction Key</Description><Size>5.5-6.35</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ524</BillingCode><Name>VIPER Spine System</Name><Description>Viper Single Innie Set Screw</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU042</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - setscrew </Name><Description>Setscrew</Description><Size>one size</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM442</BillingCode><PriorBillingCodes><PriorBillingCode>NK057</PriorBillingCode></PriorBillingCodes><Name>Excella System Locking Cap</Name><Description>Excella Pedicle Screw System Locking Cap</Description><Size>one size</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER437</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Set screw</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Set screw</Description><Size>Dia (6-7 mm) x Height (3.6-3.7 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER189</BillingCode><Name>SIGNUS Contact Thoracolumbar Plating System-Locking Crown</Name><Description>SIGNUS Contact Thoracolumbar Plating System-Locking Crown</Description><Size>M12 x 0.75 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ589</BillingCode><Name>SOCORE Locking Screws</Name><Description>SOCORE Locking Screws</Description><Size>Standard and Small</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ742</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Set Screw</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Set Screw, non-sterile and sterile (x5) </Description><Size>dia 9.7mm x height 4.2mm </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV001</BillingCode><Name>Everest</Name><Description>Breakoff Set Screw</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ760</BillingCode><Name>SIGNUS DIPLOMAT Deformity – Shear Nut</Name><Description>SIGNUS DIPLOMAT Deformity – Shear nut, non-sterile</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KN002</BillingCode><PriorBillingCodes><PriorBillingCode>JQ024</PriorBillingCode></PriorBillingCodes><Name>AMP Plate Centre Screw</Name><Description>Cage locking Screw , Ti Alloy </Description><Size>10-20mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>398793</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER627</BillingCode><PriorBillingCodes><PriorBillingCode>OF061</PriorBillingCode></PriorBillingCodes><Name>Centurion Set Screw</Name><Description>Universal set screw</Description><Size>One size only</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER514</BillingCode><PriorBillingCodes><PriorBillingCode>EU017</PriorBillingCode></PriorBillingCodes><Name>e.Spine locking screw</Name><Description>Titanium locking screw for e.Spine hooks and e.Spine pedicular screws</Description><Size>One size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER577</BillingCode><PriorBillingCodes><PriorBillingCode>OF016</PriorBillingCode></PriorBillingCodes><Name>Spinal Fixation System</Name><Description>Set Screw Spinal System</Description><Size>One size only</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ024</BillingCode><Name>Centaur Set Screw, Centaur Screw System</Name><Description>Set Screw</Description><Size>Small, Standard and Large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF008</BillingCode><Name>Smartloc Spinal Fixation System / Set Screw</Name><Description>Set screw for poyaxial pedicle screw</Description><Size>8mm diameter, 5mm height</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>150778</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY003</BillingCode><Name>Reform Locking Cap</Name><Description>Locking Cap</Description><Size>3.5mm to 5.5mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER313</BillingCode><Name>Ulrich posterior OCT System (neon3)-Locking Screw</Name><Description>Ulrich posterior OCT System (neon3)-Locking Screw, nut</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY011</BillingCode><PriorBillingCodes><PriorBillingCode>EV040</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Set Screw</Name><Description>BA Posterior Set Screw</Description><Size>Various</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH452</BillingCode><Name>DSS Breaking Nut</Name><Description>The DSS Breaking Nut is a set screw that locks the DSS pedicle screw for final tightening. It is an integral part of the DSS pedicle screw system, is used every time and can not be used on its own.</Description><Size>One size only</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>151022</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV077</BillingCode><Name>X-CORE (Lock Screw)</Name><Description>Lock screw</Description><Size>Small and Large</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI035</BillingCode><Name>HPS™ Set Screw</Name><Description>Set Screw</Description><Size>One size only</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY035</BillingCode><Name>Reform MIS Set Screw</Name><Description>Set Screw</Description><Size>5.5</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER664</BillingCode><Name>LnK AccelFix Spinal Fixation System-set screws</Name><Description>LnK AccelFix Spinal Fixation System set screws, star or hex type, Ti, sterile</Description><Size>Diameter: 8.7-9.7 mm  Height:     5.0-5.6 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB013</BillingCode><Name>AnyPlus and AnyPlus II Set Screw</Name><Description>Set Screw</Description><Size>One size only  </Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>353891</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK112</BillingCode><Name>XIA/Oasys Spine System</Name><Description>Buttress thread locking nut</Description><Size>3.5mm - 6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>279144</ARTG><ARTG>279159</ARTG><ARTG>278581</ARTG><ARTG>279160</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB004</BillingCode><PriorBillingCodes><PriorBillingCode>SV067</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Set Screw</Name><Description>Sterile nut set screw or locking screw</Description><Size>One Size</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER552</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Lock Screw</Name><Description>Lock Screw  </Description><Size>Various sizes</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM438</BillingCode><PriorBillingCodes><PriorBillingCode>NK119</PriorBillingCode></PriorBillingCodes><Name>Amendia Savannah T Pedicle Screw System-Set Screws</Name><Description>Pedicle Screw System-Set Screws</Description><Size>one size </Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>281992</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER449</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Set screws</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Set screws</Description><Size>dia (8.7-9.7mm) x height (5.0-5.6mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW751</BillingCode><PriorBillingCodes><PriorBillingCode>ER213</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems Set Screws</Name><Description>Set Screw</Description><Size>Diameter: 5-9mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>159828</ARTG><ARTG>293862</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER353</BillingCode><Name>Ulrich Anterior Distraction Device System (ADDplus)-Locking Screw</Name><Description>Ulrich Anterior Distraction Device System (ADDplus)-Locking Screw</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ062</BillingCode><Name>Centaur Spinal System</Name><Description>Setscrew</Description><Size>9mm-11.5mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>407189</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER628</BillingCode><PriorBillingCodes><PriorBillingCode>OF071</PriorBillingCode></PriorBillingCodes><Name>SKYHAWK Set Screw</Name><Description>Set Screw for SKYHAWK Lateral Interbody Fusion System</Description><Size>One size only</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY012</BillingCode><Name>Reform POCT Cap Screw</Name><Description>Cap Screw</Description><Size>One size only</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER224</BillingCode><Name>SIGNUS Diplomat  Pedicle Screw System - Set Screw</Name><Description>SIGNUS Diplomat  Pedicle Screw System - Set Screw</Description><Size>dia 9.7mm x height 4.2mm </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF017</BillingCode><Name>Redmond Lumbar Cage System - Locking Cap</Name><Description>Titanium locking cap</Description><Size>Diameter: 3mm; Length: 4mm or 6mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV022</BillingCode><Name>VuePoint screw (inner set)</Name><Description>Screw</Description><Size>Tulip &amp; Laminar Hook; 
Offset &amp; Occipital Connector; 
Parallel Rod Connector; 
Inline Rod Connector; 
Cross Connector</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV032</BillingCode><Name>Traverse Lock Nut</Name><Description>The Traverse system, of which the Traverse lock nut  is a component, is indicated for use as an adjunct to fusion via a lateral or anterolateral surgical approach, above the bifurcation of the great vessels, in the treatment of thoracic and thoracolumbar </Description><Size>One Size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>132467</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ375</BillingCode><PriorBillingCodes><PriorBillingCode>LM509</PriorBillingCode></PriorBillingCodes><Name>Break off set-screw</Name><Description>Break off set-screw</Description><Size>No size</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>366793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM509
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH456</BillingCode><Name>DSS Fusion Coupler Set Screw</Name><Description>The DSS Fusion Coupler set screw locks the telescoping fusion couplers rigidly in place. This set screw can only be used for this purpose, is used every case and can not be used for any other purpose.</Description><Size>DIA700-04 for 20mm - 22mm fusion coupler
DIA70022-04 for 22mm - 25mm / 25mm - 31mm / 31mm - 43mm fusion couplers</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>151022</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB230</BillingCode><Name>Aesculap Spinal System</Name><Description>Set Screw - titanium</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB214</BillingCode><Name>CREO® Side Loading Locking Sleeve</Name><Description>Integrated nut and sleeve</Description><Size>5.5-6.0mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1466</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW445</BillingCode><Name>Oasys-Occipito Cervico Thoracic System (Saddle)</Name><Description>Saddle Connector</Description><Size>one size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1466</GroupID><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE699</BillingCode><Name>NorthStar / Sierra OCT Occipital Clamp</Name><Description>Occipital Clip / Eyelet</Description><Size>One Size</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1466</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY151</BillingCode><Name>Universal Spine System (USS)</Name><Description>Sleeve</Description><Size>5 – 6 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1466</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN260</BillingCode><Name>SYMPHONY OCT System</Name><Description>Cross connector head adapter</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1466</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ451</BillingCode><PriorBillingCodes><PriorBillingCode>JQ039</PriorBillingCode></PriorBillingCodes><Name>Invictus OCT Tulip</Name><Description>Occipital Plate Tulip,  Ti Alloy</Description><Size>Single or Dual Tulip </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ039
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY057</BillingCode><PriorBillingCodes><PriorBillingCode>DR038</PriorBillingCode></PriorBillingCodes><Name>Tesera Locking Devices</Name><Description>Locking Cap/Locking Plate for Tesera Cage Systems</Description><Size>Single size per locking mechanism</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY701</BillingCode><Name>Spinal Fixation System</Name><Description>Cap</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER578</BillingCode><PriorBillingCodes><PriorBillingCode>OF020</PriorBillingCode></PriorBillingCodes><Name>Unity Lumbar Plate</Name><Description>Unity Cover Plate</Description><Size>17-28mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI514</BillingCode><Name>Anteralign™ - Mini Plate</Name><Description>Standard and offset miniplate with titanium bolt to be used with the Anteralign™ TL cage</Description><Size>Width: 12 mm; Length: 20 mm, 23 mm; Offset: 0 mm, 2.5 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>422151</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH073</BillingCode><Name>CARMEN Anterior Cervical Cover Plate ( One plate with three screws ) </Name><Description>The CARMEN plate and bone screw components are intended for anterior inter-body screw fixation from C2-TI. The plate and bone screw components are indicated for use together with the Carmen Anterior Cage in the temporary stabilization of the anterior spine during the development of spinal fusions in patients with: 1) degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radio-graphic studies), 2) trauma (including fractures), 3) tumors, 4) deformity (defined as kyphosis, lordosis, or scoliosis), 5) pseudoarthrosis, and/or 6) failed previous fusions.</Description><Size>Plate Size : Length : 18 mm - 20 mm;  Width : 13.6 mm - 14.2 mm     Bone Screw Size : Diameter : 3.5 mm ; 4.0 mm;  Length :  12 mm - 17 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW044</BillingCode><PriorBillingCodes><PriorBillingCode>ZI952</PriorBillingCode></PriorBillingCodes><Name>Timberline Lateral Fusion System</Name><Description>Cover Plate</Description><Size>2 and 4 hole</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE632</BillingCode><Name>Zuma Spinal System Locking Cover</Name><Description>Locking Cover</Description><Size>10mm - 20mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>275780</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB039</BillingCode><Name>DPS Spine System  Double Locking Cap and Nut</Name><Description>Locking Cap and Nut</Description><Size>One size only</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB088</BillingCode><Name>CREO Stabilization System Locking Cap</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><Note>The Prostheses List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).</Note><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB061</BillingCode><Name>REVLOK Fenestrated Screw System Locking Cap</Name><Description>Locking Cap</Description><Size>One Size</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>196054</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER340</BillingCode><Name>Ulrich Pedicle Screw System-Locking cap</Name><Description>Ulrich Pedicle Screw System (uCentum/uBase)-Locking cap assembly (dual innie screw, nut, washer)</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KN003</BillingCode><PriorBillingCodes><PriorBillingCode>JQ025</PriorBillingCode></PriorBillingCodes><Name>AMP Plate </Name><Description>Antmigration Plate for ATEC Cages,  Ti Alloy</Description><Size>Size 4 to 23  - (19.35 to 36.3)mm length, 1 or 2 screw hole. </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>398793</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ694</BillingCode><Name>Mountaineer OCT Spinal System -Lateral washer plate</Name><Description>Titanium Occipital - Lateral Washer Plate</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>194063</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB048</BillingCode><Name>ELLIPSE Stabilization System, Locking Cap</Name><Description>Locking Cap</Description><Size>One Size</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB019</BillingCode><Name>REVOLVE Stabilization Locking Cap</Name><Description>Locking Cap</Description><Size>One Size</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>190043</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN276</BillingCode><Name>SYMPHONY OCT System</Name><Description>Multipoint System - Adapter Connector Plate and Screws</Description><Size>Standard, Angled, Left, Right, Long; 6-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY448</BillingCode><Name>Spinal Fixation System</Name><Description>Locking Cap</Description><Size>One Size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>133401</ARTG><ARTG>293276</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB067</BillingCode><Name>BEACON™ Stabilization System Clamp</Name><Description>Clamp</Description><Size>5.5mm and 6.35mm small, medium, large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>219169</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY101</BillingCode><PriorBillingCodes><PriorBillingCode>JG013</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Modular Tulip</Name><Description>Standard Polyaxial Short</Description><Size>13.9mm diameter</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI263</BillingCode><Name>Infinity Spinal System</Name><Description>Occipital Screw Connectors</Description><Size>Standard, offset, open angle</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW019</BillingCode><PriorBillingCodes><PriorBillingCode>ZI911</PriorBillingCode></PriorBillingCodes><Name>Virage Cable Connector</Name><Description>Cable Connector</Description><Size>One Size</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE665</BillingCode><Name>Mariner Pedicle Screw Modular Head</Name><Description>Polyaxial, Extended, Deformity and Trauma Heads</Description><Size>One size each</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER580</BillingCode><PriorBillingCodes><PriorBillingCode>OF022</PriorBillingCode></PriorBillingCodes><Name>Firebird Phoenix screw heads</Name><Description>Modular screw heads; various sizes including reduction heads</Description><Size>Body Top Loading, NXG Body Top Loading, Top loaded Body-Slotted, Body Closed, Body Reduction - All one size only  Body Offset - 8mm, 11mm, 14mm  Short, standard and tall (open and closed)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB068</BillingCode><Name>BEACON™ Stabilizer System Connector</Name><Description>Connector</Description><Size>5.5mm and 6.35mm small, medium, large, offset</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>219169</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB101</BillingCode><Name>CREO AMP™ Tulip</Name><Description>Tulip Head</Description><Size>4.75mm and 5.5mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU054</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - screw head</Name><Description>Polyaxial screw heads, Reduction screw heads</Description><Size>one size each</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB124</BillingCode><Name>CREO MIS Posterior Stabilization System - Screw Head</Name><Description>Modular Polyaxial Screw Head</Description><Size>10mm and 30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>196054</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI521</BillingCode><Name>CD Horizon™ ModuLeX™ 5.5 Spinal System - Tulip Head</Name><Description>Tulip Head</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>422155</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC608</BillingCode><Name>TSRH</Name><Description>Connector</Description><Size>Small, Medium, Large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY178</BillingCode><Name>Spinal Fixation System</Name><Description>Pedicle screw head</Description><Size>5 - 6mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC985</BillingCode><Name>Vertex Spinal System</Name><Description>Connectors</Description><Size>Small, medium, large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH710</BillingCode><Name>Athena Cup</Name><Description>Modular Polyaxial tulip heads, available in standard, reduction and MIS reduction</Description><Size>Standard, Reduction, MIS Reduction</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>337150</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV140</BillingCode><Name>Reline (Mod Tulip)</Name><Description>Tulip Screw</Description><Size>One size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY002</BillingCode><Name>Reform Tulip Head</Name><Description>Tulip Head</Description><Size>12.5mm/17mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER553</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Polyaxial head</Name><Description>Tulip Screw Head, standard,/reduction,modular</Description><Size>Various sizes  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY036</BillingCode><Name>Reform MIS Tulip</Name><Description>Tulip</Description><Size>5.5mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER223</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System - Screw Head (Tulip)</Name><Description>SIGNUS Diplomat Pedicle Screw System - Screw Head (Tulip)</Description><Size>dia 12.5 mm x height 14.9-150 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ147</BillingCode><Name>Evolution Spine Whistler Modular Pedicle Screw System-Pedicle Screw Tulip</Name><Description>Evolution Spine Whistler Modular Pedicle Screw System-Pedicle Screw Tulip, polyaxial, standard/MI/reduction</Description><Size>5.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>445290</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV141</BillingCode><Name>Reline (Mod Reduction Tulip)</Name><Description>Tulip Screw</Description><Size>One size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV086</BillingCode><Name>Precept (Tulip)</Name><Description>Tulip screw</Description><Size>5.5mm/6.25mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ448</BillingCode><PriorBillingCodes><PriorBillingCode>JQ040</PriorBillingCode></PriorBillingCodes><Name>Invictus Modular Tulip </Name><Description>Polyaxial.  Ti Alloy</Description><Size>Std, std Reduction,  Extended tab reduction </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ040
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ741</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Screw Head (Tulip)</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Screw Head (Tulip), non-sterile and sterile packed with set screw.</Description><Size>dia 12.5 mm x height 14.9-150 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY146</BillingCode><Name>Universal Spine System (USS)</Name><Description>Cross Link Rod</Description><Size>40-80mm length </Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1470</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU028</BillingCode><Name>Romeo 2  Posterior Thoraco-lumbar Fixation System - Transverse Rod</Name><Description>Transverse rod</Description><Size>Length: 20mm, 30mm, 40mm, 50mm, 60mm, 70mm, 80mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1470</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV161</BillingCode><Name>Reline Small Stature Iliac Saddle</Name><Description>Pelvic Saddle Hook</Description><Size>5.0mm to 6.0mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER180</BillingCode><Name> SIGNUS DIPLOMAT DEFORMITY – Clip</Name><Description>DIPLOMAT DEFORMITY System-Clip</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY382</BillingCode><Name>Occipito-Cervical Fusion System</Name><Description>Occipital Clamp Titanium Alloy</Description><Size>1 or 2 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB162</BillingCode><Name>QUARTEX Occipital Clamp</Name><Description>Occipital Clamps</Description><Size>3.5mm to 4.0mm, short and long</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU160</BillingCode><Name>MUST MINI Cross connector Clamp</Name><Description>Cross connector Clamp</Description><Size>one size only</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ733</BillingCode><Name> SIGNUS DIPLOMAT Deformity – Clip</Name><Description>SIGNUS DIPLOMAT Deformity System-Clip, non-sterile. Note: Sterile clip is packed as part of a sterile multicomponent pack (hook, shear nut, lamina screw).</Description><Size>N/A</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1471</GroupID><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV159</BillingCode><Name>Versatie Band</Name><Description>PET Band</Description><Size>4.5mm - 5.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY041</BillingCode><PriorBillingCodes><PriorBillingCode>DE573</PriorBillingCode></PriorBillingCodes><Name>Jazz Posterior Fixation System</Name><Description>System of Polyester Braid, connector and locking screw</Description><Size>4mm braid, 3.5-6mm connector</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY042</BillingCode><PriorBillingCodes><PriorBillingCode>DE574</PriorBillingCode></PriorBillingCodes><Name>Jazz Posterior Fixation System - Multipurpose Connector</Name><Description>Polyester braid, connector and set screw</Description><Size>5.5mm diameter</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY014</BillingCode><PriorBillingCodes><PriorBillingCode>EV024</PriorBillingCode></PriorBillingCodes><Name>NAJA ligament correction system</Name><Description>Braid and Connector</Description><Size>5.5 and 6mm diameter, left side and right side.</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>273278</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ123</BillingCode><Name>RESPONSE Spine System - BandLoc, BandLoc Duo</Name><Description>Clamp and Band Assembly</Description><Size>Single, Dual Band</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>292961</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY040</BillingCode><PriorBillingCodes><PriorBillingCode>DE532</PriorBillingCode></PriorBillingCodes><Name>Jazz Sublaminar Band</Name><Description>Sublaminar Band for use with Jazz Claw Connector</Description><Size>1 size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB109</BillingCode><Name>SILC™ PET Band</Name><Description>PET Band</Description><Size>4 -6mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW750</BillingCode><PriorBillingCodes><PriorBillingCode>ER174</PriorBillingCode></PriorBillingCodes><Name>Nile Alternative Fixation System - Tether, Connector, Set Screws</Name><Description>Woven Braid, polyester; Clamp, Titanium; Set Screw, Titanium</Description><Size>(3-4)mm width, 60cm strap length, (50-110)mm leader, Size 20 </Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI479</BillingCode><PriorBillingCodes><PriorBillingCode>NK096</PriorBillingCode></PriorBillingCodes><Name>LigaPASS Spinal System - Sublaminar cables and connectors</Name><Description>The connectors and cables/bands work together as a bone anchor to provide stabilisation during the development of solid bony fusion and aid repair of bone fractures.</Description><Size>Connector: 20.8mm to 23mm; Band: 970mm to 1060mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>312320</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI297</BillingCode><Name>Translace Spinal Tethering System</Name><Description>Tether, tether connector, set screws</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1816</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>312380</ARTG></ARTGs><MinimumBenefit>757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN265</BillingCode><Name>SYMPHONY OCT System</Name><Description>Axial and parallel connectors</Description><Size>3.5-6.35mm </Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY147</BillingCode><Name>Universal Spine System (USS)</Name><Description>Connectors</Description><Size>Parallel, In-line, Transverse, SS, 15 - 25mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF106</BillingCode><Name>Freedom Axial Connector</Name><Description>Axial Connectors</Description><Size>2 and 4 hole</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB177</BillingCode><Name>CREO ADDITION-Inline Connectors</Name><Description>In-line Closed Connector</Description><Size>5.5-6.35 to 5.5-6.35
5.5-6.0 to 5.5-6.0</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU050</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - parallel connector</Name><Description>Parallel connector</Description><Size>Diameter: 5.5, 6mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY082</BillingCode><PriorBillingCodes><PriorBillingCode>DR012</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Inline Connector</Name><Description>Life Spine Pedicle Screw System - Inline Connector, Axial or Parallel</Description><Size>Inline, Slimline, Domino or Wedding Band (3.5-5.5)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB102</BillingCode><Name>CREO AMP™ Sacral Plate</Name><Description>Sacral Plate</Description><Size>One size</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU022</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Parallel Rod Connector, Axial Rod Connector</Name><Description>Parallel rod connector, axial rod connector</Description><Size>one size only</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY015</BillingCode><Name>Katana Connectors</Name><Description>In-Line Connectors</Description><Size>5.5mm to 6.35mm  5.5mm to 5.5mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB028</BillingCode><Name>REVERE ADDITION In-line Connectors</Name><Description>Connector, in-line</Description><Size>4.5mm, 5.5mm and 6.35mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC407</BillingCode><Name>CD Horizon</Name><Description>Domino</Description><Size>3.2mm, 3.5mm, 4.5mm, 5,5mm, 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB178</BillingCode><Name>CREO ADDITION In-line Connectors with Integrated Rod</Name><Description>In-line Closed Connector with Integrated Rod</Description><Size>5.5 Rod, 5.5-6.35, 400mm
6.0 Rod, 5.5-6.35, 400mm
6.35 Rod, 5.5-6.35, 400mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC409</BillingCode><Name>CD Horizon</Name><Description>Domino &amp; Axial Connector</Description><Size>4.5mm, 5.5mm and 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB056</BillingCode><Name>REVERE ADDITION In-line Rod Connectors with Integral Rod</Name><Description>IN-line Connector with integral rod</Description><Size>5.5mm-6.5mm 160-200mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ459</BillingCode><PriorBillingCodes><PriorBillingCode>JQ047</PriorBillingCode></PriorBillingCodes><Name>Invictus Spinal Fixation System - Connectors</Name><Description>Open/Open , Open/Closed,  Open/Side, Closed/Side, Closed/Closed, Domino Revision, Modular Satellite Axial Revision, Tulip. Ti Alloy</Description><Size>11-18mm, 30-60mm</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ047
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ743</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Sleeve</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System – Sleeve, sterile, incl. set screws</Description><Size>Diameter 5.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ684</BillingCode><Name>CD Horizon – Medtronic Rod Connector</Name><Description>Top-loading and side loading connectors</Description><Size>4.75mm - 6mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ739</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Parallel Connector</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Parallel Connector, non-sterile and sterile; incl set screws</Description><Size>(5.5-6,5) mm x (4.5-15.0) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW722</BillingCode><PriorBillingCodes><PriorBillingCode>ER011</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems</Name><Description>Axial connectors, in-line, parallel, open and closed face</Description><Size>3.5 – 6.5mm rods</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER228</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System - Sleeve</Name><Description>SIGNUS Diplomat Pedicle Screw System - Sleeve</Description><Size>Diameter 5.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER338</BillingCode><Name>Ulrich Pedicle Screw System-inline connector</Name><Description>Ulrich Pedicle Screw System (flamenco)-inline connectors, axial or parallel</Description><Size>dia 5.5 mm to (5.5-6.0 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER532</BillingCode><Name>E.SPINE System</Name><Description>TANIT SI Connector, sterile or non-sterile</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>913</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ635</BillingCode><Name>Expedium Spine System – Dual Rod Connector</Name><Description>Dual Rod Connector</Description><Size>4.75, 5.5 &amp; 6.35mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER452</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, in line</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, in line, parallel and domino, accommodates rods of 5.0, 5.5, 6.0 and 6.35 in diameter</Description><Size>length (14-40mm) x width (8-16mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER546</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti In-line Connector</Name><Description>Side by side / end to end connectors  </Description><Size>Various sizes</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB108</BillingCode><Name>SILC™ Clamp</Name><Description>Inline connector</Description><Size>4.5 -6.35mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ920</BillingCode><Name>Moss Miami Spinal System</Name><Description>Axial Connector</Description><Size>4/4mm to 5/7mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>97391</ARTG><ARTG>145010</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF014</BillingCode><Name>Centaur Screw System</Name><Description>In Line Connectors</Description><Size>5.5/6.35mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>203838</ARTG><ARTG>166153</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY016</BillingCode><PriorBillingCodes><PriorBillingCode>EV045</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw Domino Connector</Name><Description>BA Posterior Screw Domino Connector</Description><Size>Various Sizes</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI461</BillingCode><PriorBillingCodes><PriorBillingCode>NK072</PriorBillingCode></PriorBillingCodes><Name>PASS LP System - Connectors</Name><Description>Connectors</Description><Size>5.5 &amp; 6.0 mm rods</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>316001</ARTG><ARTG>295277</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB158</BillingCode><Name>QUARTEX Inline Connectors</Name><Description>In-line connectors</Description><Size>4.0mm-4.0mm and 4.0mm-6.5mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC542</BillingCode><Name>Vertex Spinal System</Name><Description>Connector</Description><Size>Length 10 - 13mm; diameter 3.2 - 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU003</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Parallel Connector</Name><Description>Parallel rod connectors</Description><Size>Diameter: 3.5/3.5mm; 3.5/5.4mm; 3.5/5.5mm; 3.5/6mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB073</BillingCode><Name>ELLIPSE Stabilization System In-line Connector</Name><Description>Connector</Description><Size>3.5mm - 6.35mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE714</BillingCode><Name>Mariner Outrigger</Name><Description>Mariner Outrigger Variable Connectors</Description><Size>8 &amp; 10mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH049</BillingCode><Name>Domino Rod Connector</Name><Description>Rod connector</Description><Size>S, M &amp; L</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW021</BillingCode><PriorBillingCodes><PriorBillingCode>ZI996</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine system - Rod Connectors</Name><Description>Tandem rod connectors</Description><Size>5.5/6.0mm &amp; 3.5mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH055</BillingCode><Name>Connector</Name><Description>Rod to Rod</Description><Size>3.5mm to 5.5mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB075</BillingCode><Name>ELLIPSE® Stabilization System Lateral Connector</Name><Description>Connector</Description><Size>3.5mm to 10.0mm - 3.5mm - 6.5mm Rod</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF181</BillingCode><Name>Freedom Posterior Screw Domino Connector</Name><Description>Freedom Posterior Screw Domino Connector</Description><Size>Various Sizes</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ098</BillingCode><Name>RESPONSE Spine System – Inline Connector</Name><Description>Inline Connector</Description><Size>40-80mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU158</BillingCode><Name>MUST MINI Rod To Rod Connector</Name><Description>Rod To Rod Connector</Description><Size>3.5-5.5</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW020</BillingCode><PriorBillingCodes><PriorBillingCode>ZI910</PriorBillingCode></PriorBillingCodes><Name>Virage Closed Rod Connector</Name><Description>Closed Rod Connector</Description><Size>3.5 to 5.5mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH585</BillingCode><Name>Venus Spinal System - In-line/Domino Connectors</Name><Description>Venus Spinal System - In-line/Domino Connectors</Description><Size>4.5 / 5.5mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI264</BillingCode><Name>Infinity Spinal System</Name><Description>In-line connector - Axial Domino</Description><Size>Enables connection from 3.2 - 6.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV021</BillingCode><Name>VuePoint inline connector</Name><Description>In-line connector</Description><Size>3.5mm x (3.5/4.5/6.5)mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV160</BillingCode><Name>VersaTie Clamp</Name><Description>Inline connector</Description><Size>5.0-6.0mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV066</BillingCode><Name>Armada</Name><Description>In-line connector</Description><Size>3.5/5.5/6.35 x 5.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH760</BillingCode><PriorBillingCodes><PriorBillingCode>LM418</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Connector</Name><Description>Connector</Description><Size>3.5mm x 22-26mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>160750</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV135</BillingCode><Name>Reline (Rod to Rod Connector)</Name><Description>Rod-to-Rod Connector</Description><Size>To fit 4.5 - 6.5 mm rod diameter</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ025</BillingCode><Name>Centaur Screw System</Name><Description>In Line Connectors</Description><Size>5.5/6.35mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB004</BillingCode><Name>Lumfix Rod connector </Name><Description>Domino (parallel) rod connectoro - open or closed </Description><Size>(5.5 - 6.0)mm rod  x (5-5 -6.0)mm Rod </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER227</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System - Parallel Connector</Name><Description>SIGNUS Diplomat Pedicle Screw System - Parallel Connector</Description><Size>5.5 mm x (5.5-6.0 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER581</BillingCode><PriorBillingCodes><PriorBillingCode>OF082</PriorBillingCode></PriorBillingCodes><Name>Orthofix In-Line Connector</Name><Description>Axial In-Line Connector with Rod</Description><Size>One size only</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB369</BillingCode><Name>Aesculap Spinal System</Name><Description>In-Line Connector</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW386</BillingCode><Name>Xia Spine System</Name><Description>Rod Clamp - Parallel, Axial</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>279150</ARTG><ARTG>279159</ARTG><ARTG>279160</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER629</BillingCode><PriorBillingCodes><PriorBillingCode>OF066</PriorBillingCode></PriorBillingCodes><Name>Centurion Rod Connectors</Name><Description>Parallel Rod Connector, Axial Rod Connector and Lateral Offset Adaptor</Description><Size>3.5mm by 5.5mm and 10mm offset (Lateral Adaptor)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY005</BillingCode><Name>Reform Dominoes</Name><Description>Dominoes - Axial and Parallel</Description><Size>Diameter 3.5mm to 6.0mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH093</BillingCode><Name>Rod Connector </Name><Description>Rod Connector </Description><Size>Diameter : 5.5 mm - 5.5 mm / 5.5 mm - 6.0 mm / 6.0 mm - 6.0 mm   </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER526</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Connector</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Axial Rod/Side Rod to Rod Connector, Right Side/Left Side Rod to Rod Connector</Description><Size>height (8.0-12.8mm) x width (13.5-19.0mm); accomodates rod size 3.6-6.1mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>384816</ARTG><ARTG>286122</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ101</BillingCode><PriorBillingCodes><PriorBillingCode>SQ193</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - Inline Connector</Name><Description>Parallel connector, Iliac connector</Description><Size>40-70mm</Size><SupplierCode>AAE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>289017</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY184</BillingCode><Name>Monarch Spinal System</Name><Description>Dual Rod Connectors End to End or Side by Side</Description><Size>4.75 to 6.35mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>97391</ARTG><ARTG>145010</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UL001</BillingCode><Name>Precision Axial Connector</Name><Description>Axial Connectors</Description><Size>2 and 4 hole</Size><SupplierCode>UL</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>229115</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER314</BillingCode><Name>Ulrich posterior OCT System (neon3)-Connector, axial/parallel</Name><Description>Ulrich posterior OCT System (neon3)-Connector, axial/parallel</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER660</BillingCode><Name>LnK AccelFix Spnal Fixation System-connector-in line</Name><Description>LnK AccelFix Spnal Fixation System-connector-axial straight or domino</Description><Size>Diameter 1&amp;2, 5.2-6.5mm, Length 16-40mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT015</BillingCode><Name>SOLFIX2 Rod Connector</Name><Description>Rod connectors: long and square</Description><Size>One size of each</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER515</BillingCode><PriorBillingCodes><PriorBillingCode>EU006</PriorBillingCode></PriorBillingCodes><Name>e.Spine connector</Name><Description>Titanium connector for rods of diameter 5.5 mm</Description><Size>Straight (axial connexion), Open domino (parallel connexion), Closed domino (parallel connexion)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW032</BillingCode><Name>Equinox Spinal Systems</Name><Description>In Line Connectors</Description><Size>3 mm to 6.5 mm</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU149</BillingCode><Name>M.U.S.T. Connectors</Name><Description>Domino &amp; In-line Connectors</Description><Size>5.5 mm and 6.35 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>222457</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE713</BillingCode><Name>Mariner Outrigger</Name><Description>Mariner Outrigger Inline Connectors</Description><Size>Axial, Closed  Closed, Axial with Rod (40-500mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW044</BillingCode><Name>WEGO Spinal Systems </Name><Description>Lateral Connectors</Description><Size>20 mm to 65 mm long</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW023</BillingCode><PriorBillingCodes><PriorBillingCode>ZI997</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Iliac Lateral Connector</Name><Description>Open and Closed Iliac Lateral Connector</Description><Size>20mm - 50mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH094</BillingCode><Name>Lateral Connector </Name><Description>Lateral Connector </Description><Size>Diameter ： 5.5 mm &amp; 6.0 mm   Length : 20 mm - 60 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE794</BillingCode><Name>Mariner Connectors</Name><Description>Mariner Offset Connectors</Description><Size>5.5mm  15mm-200mm Lengths  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA010</BillingCode><PriorBillingCodes><PriorBillingCode>OH350</PriorBillingCode></PriorBillingCodes><Name>Medyssey Spinal Fixation System</Name><Description>Crosslink</Description><Size>41 - 66mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH074</BillingCode><Name>Kumafix Connector with Nut </Name><Description>Connector with Nut </Description><Size>Connector Degree : 0;  7; 14   Left and Right    Nut Size : 6 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ099</BillingCode><Name>RESPONSE Spine System – Offset Connector</Name><Description>Closed, Open Lateral</Description><Size>20-80mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE761</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Offset Connector</Description><Size>Parallel, Top Loading; Dual, Parallel, Top Loading; Parallel, Side Loading/Variable; Open Lateral Offset</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ403</BillingCode><PriorBillingCodes><PriorBillingCode>NK105</PriorBillingCode><PriorBillingCode>LM451</PriorBillingCode></PriorBillingCodes><Name>Offset Connectors</Name><Description>Offset Connectors</Description><Size>Multiple to suit patient anatomy</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM451
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH058</BillingCode><Name>Lateral Connector</Name><Description>Closed</Description><Size>10-20mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH056</BillingCode><Name>Rod Plate</Name><Description>Plate</Description><Size>3.5 mm to single occipital screw</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW022</BillingCode><PriorBillingCodes><PriorBillingCode>ZI907</PriorBillingCode></PriorBillingCodes><Name>Virage Lateral Offset Connector</Name><Description>Offset Connector</Description><Size>10mm and 25mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ442</BillingCode><PriorBillingCodes><PriorBillingCode>JQ045</PriorBillingCode></PriorBillingCodes><Name>Invictus  Offset Connector </Name><Description>Side Loading  or Open or Closed or Offset .Ti Alloy, CoCr</Description><Size>10-200mm </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ045
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH047</BillingCode><Name>Connector</Name><Description>Lateral Connector</Description><Size>10-60mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI469</BillingCode><PriorBillingCodes><PriorBillingCode>NK084</PriorBillingCode></PriorBillingCodes><Name>Offset Connector</Name><Description>Offset Connector</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB029</BillingCode><Name>REVERE ADDITION Offset Rod Connectors with Integral Rod</Name><Description>Offset Connector with integral rod</Description><Size>5.5mm - 6.5 mm, 20mm - 200mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI518</BillingCode><Name>ModuLeX 5.5. Spinal System - Connector  </Name><Description>Connector</Description><Size>Diameter: 4.5-6mm </Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>422155</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE712</BillingCode><Name>Mariner Outrigger</Name><Description>Mariner Outrigger Offset Connectors</Description><Size>Parallel/Closed, Parallel/Side Loading, Parallel/Top Loading, Parallel/Closed/Side Loading, Parallel/Top/Side Loading, Parallel/Top/Offset, Side Loading with Rod  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ738</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Offset Connector</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Offset Connector, non-sterile and sterile incl. set screws</Description><Size>dia 5.5 mm x length (15-40 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE817</BillingCode><Name>NorthStar OCT Hinged Rod</Name><Description>NorthStar OCT Hinged Rod allows for optimal rod angulation in occipito-cervical fusions.</Description><Size>Ti Hinged Rod, 3.5mm and 4.0mm Left and Right.  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW391</BillingCode><Name>Xia Spine System</Name><Description>Connector - Axial, Dual, Offset</Description><Size>4.5mm - 6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>279151</ARTG><ARTG>279159</ARTG><ARTG>279160</ARTG><ARTG>279150</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU157</BillingCode><Name>MUST MINI Lateral Connector</Name><Description>Lateral Connector</Description><Size>Diameter 3.5  Lenght 10 ÷ 30  mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ666</BillingCode><Name>Katana Offset Connectors</Name><Description>Offset Connector</Description><Size>20mm-40mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH748</BillingCode><PriorBillingCodes><PriorBillingCode>LM497</PriorBillingCode></PriorBillingCodes><Name>Sacral Plates</Name><Description>Sacral Plates</Description><Size>Left and Right 60° and 90°</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB370</BillingCode><Name>Aesculap Spinal System</Name><Description>Offset Connector</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ607</BillingCode><Name>Expedium Spine System</Name><Description>Lateral Connector, Open or Closed with/without rod</Description><Size>4.5-6.35mm x 20 -500mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>145290</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB074</BillingCode><Name>ELLIPSE® Stabilization System Lateral Connector</Name><Description>Connector</Description><Size>Std, Short, medium, long</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC668</BillingCode><Name>CD HORIZON Spinal System - Lateral Connector</Name><Description>Lateral Connector</Description><Size>10mm - 100mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ739</BillingCode><Name>Expedium Spine system</Name><Description>Open and closed Polyaxial connectors with or without end tab</Description><Size>5.5 x 6.35 x 20-200mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY070</BillingCode><PriorBillingCodes><PriorBillingCode>DR052</PriorBillingCode></PriorBillingCodes><Name>Ulrich Medical Pedicle Screw System - Connectors</Name><Description>Ulrich Medical Pedicle Screw System - Connectors</Description><Size>4.0mm-6.0mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>365230</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB188</BillingCode><Name>CREO DLX Offset Connectors</Name><Description>Head, Closed and Open Offset Connectors</Description><Size>15mm to 150mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU004</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System -  Axial Connector, Lateral Connector</Name><Description>Axial connectors, lateral connectors</Description><Size>Axial - Diameter: 3.5/3.5mm  Lateral - small, large</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB179</BillingCode><Name>CREO ADDITION - Offset Connectors</Name><Description>Offset connectors with various configurations</Description><Size>5.5-6.35 to 5.5-6.35mm, 12mm Wide
5.5-6.35 to 5.5-6.35mm, 9mm Wide
5.5-6.35mm
5.5mm Top Loading
5.5-6.0mm Head to 5.5mm Top Loading
5.5-6.0mm Head to 5.5-6.35mm Open, 12mm Wide
5.5-6.0mm to 5.5-6.0mm, 12mm Wide</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ026</BillingCode><Name>Centaur Lateral Connector, Centaur Screw System</Name><Description>Cross Connector - Rod to Rod</Description><Size>20-500mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM447</BillingCode><PriorBillingCodes><PriorBillingCode>NK062</PriorBillingCode></PriorBillingCodes><Name>Excella System Offset Connecter</Name><Description>Excella Pedicle Screw System offset connector</Description><Size>25 to 45 mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER583</BillingCode><PriorBillingCodes><PriorBillingCode>OF081</PriorBillingCode></PriorBillingCodes><Name>Orthofix Bypass Connector</Name><Description>Offset Connector with Integrated Rod</Description><Size>16mm - 34mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV049</BillingCode><Name>Armada (Offset Connectors)</Name><Description>Offset connector</Description><Size>5.5mm x 20-120mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV114</BillingCode><Name>Reline (Offset Connector)</Name><Description>Offset Connector</Description><Size>10-60mm length for 4.5-6.5 mm diameter rod, Ti and CoCr</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH745</BillingCode><PriorBillingCodes><PriorBillingCode>LM500</PriorBillingCode></PriorBillingCodes><Name>Rod or Post Connector</Name><Description>Rod or Post Connector and set screws</Description><Size>Rod Connectors for 5.5 &amp; 6mm rods  Sacral Connectors for 5.5 &amp; 6mm rods  Post connector - one size  </Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV029</BillingCode><Name>VuePoint offset connector</Name><Description>Offset connector</Description><Size>11mm, 25mm, 30mm, 45° Acute Angle - Offset Lateral Connector, 
3.5mm x (3.5/4.5/5.5/6.25mm) - Offset Rod-to-Rod connector, 
Eyelet Connector (Occipital) - One Size</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW392</BillingCode><Name>Xia Spine System</Name><Description>Sacral Block</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>279150</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW721</BillingCode><PriorBillingCodes><PriorBillingCode>ER010</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems</Name><Description>Offset connectors, Open or Closed</Description><Size>Length: 10mm - 100mm, Degree connector angle: -15 - +15</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER582</BillingCode><PriorBillingCodes><PriorBillingCode>OF080</PriorBillingCode></PriorBillingCodes><Name>Orthofix Offset Connectors</Name><Description>Side/Top Loading, Side/Side Loading, Side/Front Loading, Front/Front Loading, Small Side/Front Loading</Description><Size>Standard, 16mm and 18mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER453</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, offset</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, offset; open or closed; standard or knurled; standard or hex profile</Description><Size>dia (6.2-6.5mm) x length (overall) (26-67mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER339</BillingCode><Name>Ulrich Pedicle Screw System-Offset connector</Name><Description>Ulrich Pedicle Screw System (uCentum)-Offset connector, incl. set screws, non-sterile or sterile (packed with set screws)</Description><Size>for dia 6mm x length (15-60 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>442550</ARTG><ARTG>279706</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER226</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System - Offset Connector</Name><Description>SIGNUS Diplomat Pedicle Screw System - Offset Connector</Description><Size>dia 5.5 mm x length (15-40 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER551</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Offset Connector</Name><Description>Offset Connector  </Description><Size>dia 5.5-6.0mm  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER528</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Connector</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Lateral Connector/Connector stopper, non-sterile or sterile</Description><Size>rod dia 3.6 mm x offset length (10-20mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>384816</ARTG><ARTG>286122</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT011</BillingCode><Name>SOLFIX2 Offset Connectors</Name><Description>Offset connectors</Description><Size>Short, long</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB003</BillingCode><Name>Lumfix Rod Connector </Name><Description>Lateral Rod connector, open or closed, straight or curved , monopolar or polyaxial </Description><Size>5.5 or 6mm rod system,  (15 - 50)mm lleg length </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER630</BillingCode><PriorBillingCodes><PriorBillingCode>OF024</PriorBillingCode></PriorBillingCodes><Name>Firebird lateral offsets</Name><Description>lateral offsets in lengths from 8mm-80mm. Titanium.</Description><Size>15, 20, 25, 30, 35, 80mm; 8mm-35mm in 3mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER661</BillingCode><Name>LnK AccelFix Spinal Fixation System-connector, offset</Name><Description>AccelFix Spinal Fixation System offset connector, Ti, sterile, straight or angled, standard or hex, open or closed, with or without knurling</Description><Size>Diameter: 5.5-6.5 mm  Length:    26-67 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER315</BillingCode><Name>Ulrich posterior OCT System (neon3)-Connector, offset</Name><Description>Ulrich posterior OCT System (neon3)-Connector, offset, square or parallel, left or right</Description><Size>length (7-20 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB157</BillingCode><Name>QUARTEX Lateral Connectors</Name><Description>Lateral Connectors</Description><Size>standard, short, long, extra long for 3.5mm and 4.0mm rods</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF173</BillingCode><Name>Freedom Posterior Screw Lateral Offset Connector</Name><Description>Freedom Posterior Screw Lateral Offset Connector</Description><Size>10-25mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB072</BillingCode><Name>ELLIPSE Stabilization System Parallel Connector</Name><Description>Connector</Description><Size>3.5mm to 4.0 - 6.5mm Rod</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY287</BillingCode><Name>USS llio-Sacral Fixation system</Name><Description>Transconnecting bar</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC676</BillingCode><Name>SiLo</Name><Description>Lateral Connector</Description><Size>10-40mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY081</BillingCode><PriorBillingCodes><PriorBillingCode>DR011</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Offset Connector</Name><Description>Life Spine Pedicle Screw System - Offset Connector (Open or Closed)</Description><Size>dia 5.5mm x length (20-40)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU045</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - lateral connector, axial connector</Name><Description>Lateral connector (open or closed), axial connector</Description><Size>Lateral connector: Length: 15 - 60mm. Diameter: 5.5, 6mm  Axial connector: Diameter: 5.5, 6mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB176</BillingCode><Name>CREO Offset Connectors</Name><Description>Threaded Head Offset Connectors</Description><Size>15mm-150mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY288</BillingCode><Name>USS llio-Sacral Fixation system</Name><Description>Sacral clamp</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN266</BillingCode><Name>SYMPHONY OCT System</Name><Description>Lateral offset and cable connectors</Description><Size>One size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB156</BillingCode><Name>QUARTEX Parallel Connectors</Name><Description>Parallel Connector</Description><Size>4.0mm Rod to 4.0-6.5mm Rod</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY012</BillingCode><Name>CerviFix Posterior Cervical System</Name><Description>Clamp</Description><Size>Left, Right, Medial, Lateral, Pedicle, Lamina</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY310</BillingCode><Name>Axon Spinal System</Name><Description>transverse bar</Description><Size>one size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU027</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Iliac Connector</Name><Description>Iliac connector</Description><Size>Length: 15mm, 20mm, 30mm, 40mm, 50mm, 60mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF110</BillingCode><Name>Freedom Offset Connector</Name><Description>Offset Connectors</Description><Size>15, 20, 25, 30, 35mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI265</BillingCode><Name>Infinity Spinal System</Name><Description>Offset connector: Offset Domino, Lateral, Multi Axial Screw Extension</Description><Size>Enables connection from 3.2 - 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF109</BillingCode><Name>Freedom Domino Connector</Name><Description>Parallel Axial Connectors</Description><Size>2 and 4 hole</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY017</BillingCode><PriorBillingCodes><PriorBillingCode>EV041</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw Lateral Offset Connector</Name><Description>BA Posterior Screw Lateral Offset Connector</Description><Size>10-25mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB027</BillingCode><Name>REVERE ADDITION Offset Connectors</Name><Description>Connector, offset</Description><Size>4.5, 5.5 and 6.35mm Diameter, 15-150mm Length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU135</BillingCode><Name>M.U.S.T Lateral Connectors</Name><Description>Lateral Connectors</Description><Size>20 - 150 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>222457</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH586</BillingCode><Name>Venus Spinal System - Lateral Connector</Name><Description>Venus Spinal System - Lateral Connector</Description><Size>15-50mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW024</BillingCode><PriorBillingCodes><PriorBillingCode>ZI998</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Tandem rod connectors</Name><Description>Tandem rod connectors</Description><Size>5.5/6.0mm &amp; 3.5mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW758</BillingCode><PriorBillingCodes><PriorBillingCode>ER211</PriorBillingCode></PriorBillingCodes><Name>Mesa Hooks</Name><Description>Thoracic and Lumbar hooks</Description><Size>Various blade and throat sizes</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><Suffix>Integrated Locking Mechanism</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>913</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH057</BillingCode><Name>Hook</Name><Description>Laminar</Description><Size>5.5 mm &amp; 7.0 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH583</BillingCode><Name>Venus - Spinal Fixation System - Hooks</Name><Description>Venus Hooks</Description><Size>4 - 9mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU161</BillingCode><Name>MUST MINI Hooks</Name><Description>Hooks</Description><Size>4.5-6.0 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE790</BillingCode><Name>Mariner Hooks</Name><Description>Lamina, Pedicle, Angled &amp; Offset Hooks</Description><Size>5.5-10.5 Heights  4.5-9.0 Widths  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ097</BillingCode><Name>RESPONSE Spine System – Hook</Name><Description>Pedicle, Laminar, Thoracic</Description><Size>Open - Closed 
Narrow- Wide 
Left – Right 
Offset 5-11mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW029</BillingCode><PriorBillingCodes><PriorBillingCode>ZI912</PriorBillingCode></PriorBillingCodes><Name>Virage Hooks</Name><Description>Virage Hooks</Description><Size>6mm and 8mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE767</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Hook</Description><Size>4.5 &amp; 6.0mm  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW019</BillingCode><Name>WEGO Spinal Systems</Name><Description>Hooks - various</Description><Size>Small, medium, large</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU134</BillingCode><Name>M.U.S.T. Hooks</Name><Description>Hooks: Pedicle, Narrow, Extended Body, Wide Bladed, Offset L&amp;R, Angled L&amp;R</Description><Size>Various sizes</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>222457</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY080</BillingCode><PriorBillingCodes><PriorBillingCode>DR010</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Hooks</Name><Description>Life Spine Pedicle Screw System - Hooks (Pedicle, Laminar, Offset Left/Right)</Description><Size>Small, Medium &amp; Large in Standard, Wide, Narrow &amp; Reduced</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI464</BillingCode><PriorBillingCodes><PriorBillingCode>NK077</PriorBillingCode></PriorBillingCodes><Name>PASS LP System - Hooks</Name><Description>Pedicle Hook, Counter-Hooks, Hook Claws</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>295277</ARTG><ARTG>316001</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU006</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Hook</Name><Description>Straight hooks, offset hooks (left/right)</Description><Size>One size only</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN280</BillingCode><Name>SYMPHONY OCT System</Name><Description>Hook Left, Right, Centre</Description><Size>Short - Long</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU020</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Hook</Name><Description>Laminar hook, pedicular hook, offset (left/right), angled (left/right)</Description><Size>Small, large, extended</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF182</BillingCode><Name>Freedom Posterior Screw Hook</Name><Description>Freedom Posterior Screw Hook</Description><Size>Thick and Thin</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB155</BillingCode><Name>QUARTEX Hooks</Name><Description>Left and Right Inline Hooks</Description><Size>One size only</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB085</BillingCode><Name>CREO Stabilization System Hook</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5; small, medium and large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY021</BillingCode><Name>Katana Hook</Name><Description>The Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine.</Description><Size>Small, Medium, Large, Wide, Narrow, Pedicle</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC406</BillingCode><Name>CD HORIZON Spinal System - Hook</Name><Description>Hook - various</Description><Size>Extra Small - Large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB187</BillingCode><Name>CREO DLX Hook</Name><Description>Hooks-Thoracic, Laminar, Transverse Process and Pedicle</Description><Size>Small,  Medium,  Large,  Right Large  Left Large  Right Medium  Left Medium  Offset Right  Offset Left  30 degree Offset Right  30 degree Offset Left</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY568</BillingCode><Name>Spinal Fixation System</Name><Description>Pedicle and Lamina Hooks, straight, angled, off-set</Description><Size>Small, Medium, Large</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF012</BillingCode><Name>Centaur Hook, Centaur Screw System</Name><Description>Open hook</Description><Size>various</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>203838</ARTG><ARTG>166153</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU044</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - hook </Name><Description>Hook laminar, hook angled, hook offset, hook pedicular</Description><Size>various</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY046</BillingCode><PriorBillingCodes><PriorBillingCode>DE570</PriorBillingCode></PriorBillingCodes><Name>Jazz Claw Posterior Fixation System (Hook)</Name><Description>Left and Right Hook</Description><Size>Standard and large hook</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY438</BillingCode><Name>Expedium Spine System</Name><Description>Hooks, Right, Left, Angled, Offset, Extended, Reduced Bladed</Description><Size>5 - 12 mm including narrow - wide</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY045</BillingCode><PriorBillingCodes><PriorBillingCode>DE539</PriorBillingCode></PriorBillingCodes><Name>Jazz Claw Posterior Fixation System (Hook)</Name><Description>Left and Right Hook</Description><Size>Standard and large hook</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ761</BillingCode><Name>Moss Miami (Titanium)</Name><Description>Slotted Hook</Description><Size>One Size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>145010</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB025</BillingCode><Name>REVERE Hooks</Name><Description>Hook - various</Description><Size>small, medium, large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ383</BillingCode><PriorBillingCodes><PriorBillingCode>NK036</PriorBillingCode><PriorBillingCode>LM415</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Hooks</Name><Description>Hook</Description><Size>4.5-6mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM415
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ460</BillingCode><PriorBillingCodes><PriorBillingCode>JQ036</PriorBillingCode></PriorBillingCodes><Name>Invictus TL Hooks</Name><Description>Lamina, Pedicle, Offset, Angled  Ti Alloy</Description><Size>(5.5 - 6.0)mm rod diameter x 5.5 - 12.5 mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ036
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ761</BillingCode><Name>SIGNUS DIPLOMAT Deformity System – Lamina Hook    </Name><Description>DIPLOMAT Deformity System with lamina hook, non-sterile</Description><Size>5.0-10.0 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV110</BillingCode><Name>Reline (Hook)</Name><Description>Hook</Description><Size>4-12mm
Lamina Narrorw, Lamina Wide, Lamina Down Narrow, Lamina Down Wide, Trans Process Narrow, Trans Process Wide, Lamina Up Narrow, Lamina Up Wide, Lamina Tall Narrow, Pedicle, Thoracic, Offset Left, Offset Right, Angle Left, Angle Right, Offset Angle Left, Offset Angle Right, Sidewinder Left, Sidewinder Right</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB013</BillingCode><Name>DPS Spine System - Hook</Name><Description>Hook for spinal fixation system.</Description><Size>Laminar and Pedicle; Diameter 5.5/6.0mm, Width - Broad, narrow; Left and Right</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB002</BillingCode><Name>Aesculap Hook System</Name><Description>Pedicle, Lamina, Thoracic and Offset Hooks</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV058</BillingCode><Name>Armada (Hook - Various)</Name><Description>Hook</Description><Size>Pedicle - Small/Medium, 5.5mm

Lamina - 6/8/10mm x 5.5mm

Angled - 5.5mm

Offset - 5.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV030</BillingCode><Name>VuePoint hook (laminar)</Name><Description>Hook (laminar)</Description><Size>5.0mm, 6.0mm, 7.0mm, 8.0mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER317</BillingCode><Name>Ulrich posterior OCT System (neon3)-Hooks</Name><Description>Ulrich posterior OCT System (neon3)-Hooks, counter hooks, right/left, short/long</Description><Size>short to long</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ028</BillingCode><Name>Centaur Hook, Centaur Screw System</Name><Description>Open hook</Description><Size>various</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW723</BillingCode><PriorBillingCodes><PriorBillingCode>ER013</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems</Name><Description>Lumbar Thoracic or Cervical Hooks; open or closed</Description><Size>Various blade and throat sizes</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER336</BillingCode><Name>Ulrich Pedicle Screw System-Hooks</Name><Description>Ulrich Pedicle Screw System (uCentum)-Hooks, pedicle, lamina, offset (left or right), incl. set screws, non-sterile or sterile (packed together with set screws)</Description><Size>width (5-8 mm) x length (7-11 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER634</BillingCode><PriorBillingCodes><PriorBillingCode>OF064</PriorBillingCode></PriorBillingCodes><Name>Centurion Cervical Hooks</Name><Description>Cervical Hooks</Description><Size>4.5mm and 6.0mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK222</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Hook</Description><Size>Standard, Standard Short, Standard Tall, Offset Right, Offset Left</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER550</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Hooks </Name><Description>Pedicle Hook, Laminar Hook</Description><Size>Various sizes</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER667</BillingCode><Name>LnK AccelFix Spinal Fixation System-hooks</Name><Description>AccelFix Spinal Fixation System hooks standard, pedicle, angled or offset, Ti, sterile</Description><Size>Diameter: 5.6-6.2 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER633</BillingCode><PriorBillingCodes><PriorBillingCode>OF027</PriorBillingCode></PriorBillingCodes><Name>Blackstone - Posterior Hook</Name><Description>Titanium</Description><Size>Large/Angled/Offset/Left/Right/Narrow/Wide/ThoracicLaminar/Lumbar Laminar</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY006</BillingCode><Name>Reform Hooks</Name><Description>Hooks and Reduction Hooks</Description><Size>Various</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC591</BillingCode><Name>Vertex Reconstructive System Laminar Hook</Name><Description>Composition -  titanium alloy</Description><Size>4.5 - 6.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER517</BillingCode><PriorBillingCodes><PriorBillingCode>EU003</PriorBillingCode></PriorBillingCodes><Name>e.Spine Hook</Name><Description>Titanium Spine hook</Description><Size>Transverse process. Pedicular, Lumbar laminar, Thoracic laminar, Right offset lumbar laminar, Left offset lumbar laminar and raised body lumbar laminar hook, Progressive blade (small, medium, large), Pedicle (small, medium, large), Reduced blade (small, medium, large), Large blade (small, medium, large), and Laminar (Left offset - Reduced, Right offset - Reduced)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW405</BillingCode><Name>Xia Spine System</Name><Description>Hooks</Description><Size>Laminar and Pedicle Hooks</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>279150</ARTG><ARTG>279159</ARTG><ARTG>279160</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER179</BillingCode><Name>  SIGNUS DIPLOMAT DEFORMITY System – Lamina Hook    </Name><Description>DIPLOMAT DEFORMITY System with lamina hook</Description><Size>5.0;7.5;10.0 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT010</BillingCode><Name>SOLFIX2 Hook</Name><Description>Pedicle, lamina and TP hooks</Description><Size>Small, medium, large, pedicle marker, angle left, angle right, large groove, small groove, offset left, offset right</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM450</BillingCode><PriorBillingCodes><PriorBillingCode>NK065</PriorBillingCode></PriorBillingCodes><Name>Excella System Hook</Name><Description>Excella Pedicle Screw System Hook</Description><Size>7 to 9mm x 6 to 9mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB103</BillingCode><Name>CREO AMP™ Lamina Clamp</Name><Description>Lamina clamp</Description><Size>Small, medium, large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB049</BillingCode><Name>ELLIPSE® Stabilization System Hooks</Name><Description>Hooks</Description><Size>5 - 7mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI473</BillingCode><PriorBillingCodes><PriorBillingCode>NK088</PriorBillingCode></PriorBillingCodes><Name>Laminar Hooks</Name><Description>Laminar Hooks</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI267</BillingCode><Name>Infinity Spinal System</Name><Description>Laminar Hook</Description><Size>4.5 - 6.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV147</BillingCode><Name>MAGEC Spinal Bracing and Distraction System</Name><Description>Magnetically controlled growing rods</Description><Size>Actuator length: 70-90.mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1826</GroupID><ARTGs><ARTG>231043</ARTG></ARTGs><MinimumBenefit>13442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY094</BillingCode><PriorBillingCodes><PriorBillingCode>EV028</PriorBillingCode></PriorBillingCodes><Name>Katana Rod</Name><Description>The Katana Rod, part of the Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine. These are specialty rods for use in procedures such as the treatment for scoliosis.</Description><Size>Titanium or CrCo straight rods.  300 and 500mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>236041</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU059</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - percutaneous rod </Name><Description>Percutaneous straight rods, pre-bent rods - Titanium</Description><Size>Diameter:  5.5, 6mm. Length: 30 - 250mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB189</BillingCode><Name>CREO DLX Rods</Name><Description>Curved, Straight and Hex-ended Rods</Description><Size>Diameter: 6.35mm  Length: 20mm-600mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB182</BillingCode><Name>CREO ADDITION - Z Rods</Name><Description>Z pre-shaped rods</Description><Size>Diameter 5.5-6.35mm
12mm Offset
100-200mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ648</BillingCode><Name>Pre-cut rod - Expedium Anterior Spine System</Name><Description>Rod - Titanium</Description><Size>Diameter 5.5mm x lengths 45-150mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY067</BillingCode><PriorBillingCodes><PriorBillingCode>DR049</PriorBillingCode></PriorBillingCodes><Name>Ulrich Medical Pedicle Screw System - Rods</Name><Description>Ulrich Medical Pedicle Screw System - Rods</Description><Size>5.5/6.0 - 35mm-500mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>365230</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC587</BillingCode><Name>CD Horizon Spinal System</Name><Description>Percutaneous Rod</Description><Size>20mm to 600mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY564</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Rods</Description><Size>20mm - 500mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>293276</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU021</BillingCode><Name>Romeo 2/Romeo 2 MIS Posterior Thoraco-lumbar Fixation System - Rod, Percutaneous Rod</Name><Description>Rod, percutaneous rod</Description><Size>Rod -  Diameter 5.4mm  Length: pre-bent: 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 70mm, 80mm, 90mm; straight: 100mm, 120mm, 140mm, 160mm, 180mm, 200mm, 220mm, 240mm, 350mm, 500mm, 550mm  Percutaneous Rod -  Diameter: 5.4mm  Length:   pre-bent - 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm;   straight - 100mm, 110mm, 120mm, 130mm, 140mm, 150mm, 160mm, 170mm, 180mm, 190mm, 200mm, 210mm, 220mm, 230mm, 240mm, 250mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU060</BillingCode><Name>Perla Posterior Occipito-Cervico-Thoracic fixation system - occipital rod</Name><Description>Occipital rod - Titanium or cobalt chromium</Description><Size>3.5 x 220 - 90mm or 3.5 x 120 - 90 mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY143</BillingCode><Name>Universal Spine System (USS)</Name><Description>Rods</Description><Size>Length 40 - 500mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY084</BillingCode><PriorBillingCodes><PriorBillingCode>DR014</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Rods</Name><Description>Life Spine Pedicle Screw System (Naultilus, Avatar) - Rods, Straight, Curved and Deformity, open or percutaneous (Ti or CoCr).</Description><Size>dia. (5.5) x length (25-600)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB148</BillingCode><Name>CAPITOL Curved Rod</Name><Description>Pre-lordosed Rods</Description><Size>3.5mm diameter 25-120mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF171</BillingCode><Name>Freedom Posterior Screw Rod</Name><Description>Freedom Posterior Screw Rod  Straight/PreBent  CrCo/Titanium</Description><Size>Ø3.5 to 5.5  20-500mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY077</BillingCode><PriorBillingCodes><PriorBillingCode>DR007</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Rod, Dual Diameter</Name><Description>Life Spine Pedicle Screw System (Nautilus, Avatar) - Rod, Dual Diameter</Description><Size>(3.5-5.5) Various Lengths</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI471</BillingCode><PriorBillingCodes><PriorBillingCode>NK086</PriorBillingCode></PriorBillingCodes><Name>Dual diameter rod</Name><Description>Dual diameter rod</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM443</BillingCode><PriorBillingCodes><PriorBillingCode>NK058</PriorBillingCode></PriorBillingCodes><Name>Excella Systems Rods</Name><Description>Pedicle Screw System Rods, Straight and curved</Description><Size>5.5 &amp; 6mm diameter  35 to 600mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY037</BillingCode><Name>Reform POCT </Name><Description>Occipital Rod</Description><Size>3.5mm Diameter</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB371</BillingCode><Name>Aesculap Spinal System</Name><Description>Pre-bent Rods - Titanium Alloy</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF029</BillingCode><Name>Rods</Name><Description>Straight</Description><Size>6mm x (32-300)mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>288089</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW034</BillingCode><PriorBillingCodes><PriorBillingCode>ZA002</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Rods</Name><Description>Straight and contoured rods titanium and CoCR</Description><Size>5.5 x 25mm - 5.5 x 510mm &amp; 6 x 25mm - 6 x 510mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE637</BillingCode><Name>Malibu Spinal System ESS CoNiCr Rods</Name><Description>Rod CoNiCr Precontored</Description><Size>5.5mm x 100mm - 600mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN264</BillingCode><Name>SYMPHONY OCT System</Name><Description>Dual diameter rods</Description><Size>3.5-6.35mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB045</BillingCode><Name>ELLIPSE Stabilization System, Tapered Rod</Name><Description>Dual Diameter Rod</Description><Size>3.5mm ti 4.0mm - 6.5mm x 350mm - 500mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU108</BillingCode><Name>M.U.S.T. Rods</Name><Description>Straight, Pre-Bent and Pre-Contoured Rods</Description><Size>Size diameter 5.5 mm or 6.0 mm, length 25 mm-600 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU155</BillingCode><Name>MUST MINI Rod</Name><Description>Rod</Description><Size>Diameter 3.5  Lenght 30 - 350 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH044</BillingCode><Name>Rod</Name><Description>Rod</Description><Size>30-500mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB020</BillingCode><Name>REVOLVE Stabilization System Rods</Name><Description>Rod</Description><Size>5.5mm diameter 40mm - 300mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190043</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER225</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Rod-Straight or Curved</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Rod-Straight or Curved</Description><Size>dia 5.5 mm x length (30-150 mm)  dia 5.5 mm x length (150/200/250/300/500 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB005</BillingCode><Name>Lumfix Rod</Name><Description>Rod, Strasight, Curved  with or without end stop. Titanium or coCr</Description><Size>(5.5 - 6.0)mm diameter x (35-500)mm length </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ050</BillingCode><Name>Centaur Screw System</Name><Description>Percutaneous Rods</Description><Size>30mm-480mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER447</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Rods</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Rods; straight or curved; Titanium or CoCr alloy</Description><Size>dia (5.0-6.35mm) x length (40-600mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY004</BillingCode><Name>Reform Rods</Name><Description>Straight and Lordotic Curved Rods</Description><Size>Length 20mm to 600mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER641</BillingCode><PriorBillingCodes><PriorBillingCode>OF063</PriorBillingCode></PriorBillingCodes><Name>Centurion Occipital Rods</Name><Description>Titanium or Cobalt Chrome Occipital Rod</Description><Size>3.5mm, 110°, 120°, 135°</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER663</BillingCode><Name>LnK AccelFix Spinal Fixation System-Rods</Name><Description>AccelFix Spinal Fixation System Ti Rods, shaped ends, straight or curved, standard or MIS and single or double stopper features. sterile</Description><Size>Diameter: 5.0-6.5 mm  Length:     40-612 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER177</BillingCode><Name>SIGNUS DIPLOMAT DEFORMITY – Rod</Name><Description>DIPLOMAT DEFORMITY System – Rod</Description><Size>5.5x500 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER284</BillingCode><Name>Premia Spine Versalink Fixation System-Rods (straight or bent)</Name><Description>Premia Spine Versalink Rods (straight or bent)</Description><Size>dia 6 mm, length (40-180) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>267145</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW727</BillingCode><PriorBillingCodes><PriorBillingCode>ER018</PriorBillingCode></PriorBillingCodes><Name>Mesa/Denali/Everest Rod</Name><Description>Straight and Contoured, CoCr, Ti Rods</Description><Size>Length: 25mm - 600 mm; Diameter: 3.5mm - 6.5 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY010</BillingCode><Name>Reform POCT Rod</Name><Description>Rod - Straight and Curved</Description><Size>Length 20mm to 350mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT012</BillingCode><Name>SOLFIX2 Rods</Name><Description>Rods (straight soft rods, straight hard rods)</Description><Size>Diameter: 5.5mm, 6mm,  Length: 35mm - 500mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER334</BillingCode><Name>Ulrich Pedicle Screw System-Rods</Name><Description>Ulrich Pedicle Screw System (uCentum)-Rods, straight, curved and scoliosis, open or percutaneous, sterile or non-sterile.</Description><Size>dia 6.0 mm x length (30-500 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>442550</ARTG><ARTG>279706</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW483</BillingCode><Name>ES2 Spinal System, Rod</Name><Description>Hex end rods</Description><Size>5.5mm x 20 - 600mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>278581</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER549</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Rod </Name><Description>Rod, Ti or CoCr, straight or curved, bullet or hexagonal end </Description><Size>Ø4.5mm -Ø6.0mm diameter, 30 - 600mm length, Ti and CoCr  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ065</BillingCode><Name>Centaur Spinal System </Name><Description>Rods</Description><Size>Diameter 5.5mm x 30mm - 480mm Length</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>407189</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER286</BillingCode><Name>Premia Spine Versalink Fixation System-Cross Bar</Name><Description>Premia Spine Versalink Fixation System-Cross Bar</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>267145</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW735</BillingCode><PriorBillingCodes><PriorBillingCode>ER027</PriorBillingCode></PriorBillingCodes><Name>Caspian OCT Spinal System - Rod</Name><Description>cervico-thoracic posterior rigid fixation system - Rod</Description><Size>Diameter: 3.5mm Length: 1.80mm - 240mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ386</BillingCode><PriorBillingCodes><PriorBillingCode>NK038</PriorBillingCode><PriorBillingCode>LM417</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Transitional Rod</Name><Description>Transitional Rod</Description><Size>3.5mm - 5.5mm x100mm - 500mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM417
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ455</BillingCode><PriorBillingCodes><PriorBillingCode>JQ043</PriorBillingCode></PriorBillingCodes><Name>Invictus Rod </Name><Description>Rod, straight, curved Ti Alloy or CoCr</Description><Size>(3.5 - 6.0) mm diameter x  (20-600)mm length</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ043
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ457</BillingCode><PriorBillingCodes><PriorBillingCode>JQ035</PriorBillingCode></PriorBillingCodes><Name>Invictus Shaped Rod</Name><Description>OCT Prebent, S,  Z  and J rods </Description><Size>(5.5 - 6.0)mm diameter x (300-600)mm lemgth , CoCr Ti Alloy</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ035
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ594</BillingCode><Name>SOCORE Rod </Name><Description>SOCORE Rod </Description><Size>Diameter 4.0mm - 5.5mm, Length 30mm - 260mm</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ380</BillingCode><PriorBillingCodes><PriorBillingCode>NK015</PriorBillingCode><PriorBillingCode>LM409</PriorBillingCode></PriorBillingCodes><Name>Capless Li Pedicle screw system - rod</Name><Description>Titanium rod. Straight and pre- bent</Description><Size>Straight and pre- bent, multiple sizes, 40-300mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>160750</ARTG><ARTG>170220</ARTG><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM409
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE638</BillingCode><Name>Malibu Spinal System Rods</Name><Description>Rod</Description><Size>5.5mm x 30mm - 600mm  6.35mm x 100mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ104</BillingCode><PriorBillingCodes><PriorBillingCode>SQ126</PriorBillingCode><PriorBillingCode>SQ126</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - Rod</Name><Description>Straight, Titanium Alloy, CoCr</Description><Size>30mm - 500mm length</Size><SupplierCode>AAE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>289017</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB004</BillingCode><Name>Vertefix II Alignment Rod</Name><Description>Alignment Rod</Description><Size>Diameters: 5.5 Length: 50, 75, 100, 125, 150, 200, 300mm</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER593</BillingCode><PriorBillingCodes><PriorBillingCode>OF083</PriorBillingCode></PriorBillingCodes><Name>Orthofix Z Rod</Name><Description>Pre-bent Z Rod</Description><Size>Standard, 16mm, 18mm Offset  150mm X150mm, 150mm X 300mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV060</BillingCode><Name>Armada (Rod)</Name><Description>Rod</Description><Size>5.5mm x (25/30/35/40/45/50/55/60/65/70/75/80/85/90/100/120)

300/500mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI048</BillingCode><Name>HPS™ Rod</Name><Description>straight and pre-bent Rods</Description><Size>20-300mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>345870</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV116</BillingCode><Name>Reline (Rod)</Name><Description>Rod</Description><Size>4.5-6mm diameter, and 15-600mm length, Ti and CoCr</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB007</BillingCode><Name>DPS Spine System - Rod</Name><Description>Rods for posterior pedicle screw fixation system.</Description><Size>Diameter 5/5.5/6mm; Length 40-500mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH485</BillingCode><Name>Paradigm  Spinal System</Name><Description>DSS/ HPS Rod, Titanium alloy</Description><Size>5.5mm diameter rod  Length: 20mm to 300mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>186733</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV088</BillingCode><Name>Precept (Rod)</Name><Description>Rod</Description><Size>15-600mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER519</BillingCode><PriorBillingCodes><PriorBillingCode>EU002</PriorBillingCode></PriorBillingCodes><Name>e.Spine Rod</Name><Description>Spine straight or pre-bend rods</Description><Size>Diameter 5.5mm; Lengths:
Titanium or CoCr Straight rods 40, 50, 60, 70, 80, 90, 110, 130, 160, 220, 440, 500, 600mm;
Titanium Pre-bend rods: 40, 50, 60, 70, 80, 90mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER448</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Rods, shaped</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Rods, shaped ends and single or double stopper features</Description><Size>dia (5.0-6.35mm) x length (40-600mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER319</BillingCode><Name>Ulrich posterior OCT System (neon3)-Rods</Name><Description>Ulrich posterior OCT System (neon3)-Rods, Titanium or Co-CR, straight or curved</Description><Size>dia 4 mm x length (20-400 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK224</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Rods - Ti-6A1-4V or Vitallium</Description><Size>Diameter 3.5mm, Length 25mm-350mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>94635</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER640</BillingCode><PriorBillingCodes><PriorBillingCode>OF062</PriorBillingCode></PriorBillingCodes><Name>Centurion Rods</Name><Description>Titanium or Cobalt Chrome Rods and Transition Rods</Description><Size>3.5mm diameter and 70mm, 120mm, and 200mm in length (Rods)  3.5mm – 5.5mm and 200/200mm, 200/300mm and 300/300mm in length (Transition Rods)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER436</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Rod</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Rod,straight or pre-bent, non-sterile or sterile</Description><Size>Dia 3.5mm x Length (20-240 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW389</BillingCode><Name>Xia / Mantis Spine System</Name><Description>Rod</Description><Size>Diameter: 5.5mm - 6mm.  
Length: 20mm - 600mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>139620</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB007</BillingCode><PriorBillingCodes><PriorBillingCode>SV069</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ PS Sterile Connecting Rod</Name><Description>Sterile rod available in straight and prebent versions.</Description><Size>Pre bent rods-5.5mm   Lengths (mm): 30-100    Straight Rods-5.5mm  Lengths (mm): 100-380</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>273288</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER139</BillingCode><Name>Signus Pedicles Screw System - Rod</Name><Description>Titanium Rod- as part of the Signus Pedicle Screw System Construct</Description><Size>6.0mm x 30mm - 100mm in 5mm increments 6.0mm x 108mm - 204mm in 12 mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER592</BillingCode><PriorBillingCodes><PriorBillingCode>OF073</PriorBillingCode></PriorBillingCodes><Name>Firebird Rods</Name><Description>Firebird Rods - straight and pre-lordosed, titanium and CoCr</Description><Size>35mm-600mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER407</BillingCode><Name>LnK MIS Spinal System/PathLoc-L MIS Spinal System-Rods</Name><Description>LnK MIS Spinal System/PathLoc-L MIS Spinal System-Rods, bullet and hex shaped ends, straight or curved</Description><Size>dia (5.5-6.0mm) x length (35-600mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>286124</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ740</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System - Rod-Straight or Curved</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System - Rod-Straight or Curved, non-sterile or sterile  </Description><Size>dia 5.5 mm x length (30-150 mm)  dia 5.5 mm x length (150/200/250/300/500 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ445</BillingCode><PriorBillingCodes><PriorBillingCode>JQ044</PriorBillingCode></PriorBillingCodes><Name>Invictus Dual Diameter Rod </Name><Description>Straight, Dual Diameter , Ti Alloy  or CoCr </Description><Size>(3.5 or 4.0 or 5.5 )mm to (5.5 or 6.0)mm diameters  x (200 - 600) mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ044
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ384</BillingCode><PriorBillingCodes><PriorBillingCode>NK037</PriorBillingCode><PriorBillingCode>LM416</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Rod</Name><Description>Rod</Description><Size>3.5mm x 30-500mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM416
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY030</BillingCode><Name>Reform POCT Rod</Name><Description>Transition Rod</Description><Size>Lengths 250mm - 650mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ734</BillingCode><Name>SIGNUS DIPLOMAT Deformity – Rod</Name><Description>SIGNUS DIPLOMAT Deformity System – Rod, non-sterile and sterile  </Description><Size>5.5x500 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>458188</ARTG><ARTG>458187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB212</BillingCode><Name>CREO® Side Loading Rod</Name><Description>Curved, straight and offset rods</Description><Size>Length: 20mm- 600mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC404</BillingCode><Name>CD HORIZON Spinal System - Rod</Name><Description>Rod</Description><Size>20mm - 600mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC440</BillingCode><Name>CD Horizon</Name><Description>Eclipse:  4.5mm Rod</Description><Size>40 - 600mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW655</BillingCode><Name>Xia Spine System</Name><Description>Transition Rods</Description><Size>4.5 mm transitioning to 5.5mm and 6.0mm.   Titanium Alloy and Vitallium</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>279160</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW654</BillingCode><Name>OASYS Spine System</Name><Description>Transition Rods</Description><Size>3.5mm transitioning to 4.5mm, 5.5mm and 6.0mm.  Ti Alloy and Vitallium</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE594</BillingCode><Name>Newport MIS Rod</Name><Description>MIS bulleted pre-contoured rod</Description><Size>35-80 (5mm incr.)
90-110 (10mm incr.)</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW035</BillingCode><PriorBillingCodes><PriorBillingCode>ZI914</PriorBillingCode></PriorBillingCodes><Name>Virage Rods</Name><Description>Virage Rods</Description><Size>3.5mm x 25-400mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER341</BillingCode><Name>Ulrich Pedicle Screw System-Rod, dual diameter</Name><Description>Ulrich Pedicle Screw System (flamenco)-Rod, hybrid</Description><Size>dia 5.5 mm /4.5 mm, length 400 mm;  dia 5.5 mm /6.0 mm, length 400 mm; dia 5.5 mm /6.25 mm, length 400 mm; dia 5.5 mm /6.25 mm, (threaded), length 400 mm; dia 4.0/6.0 mm, length 200 mm; dia 4.0/6.0 mm, length 400 mm  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ249</BillingCode><Name>KHEIRON Spinal Fixation System</Name><Description>K-ROD patient specific shaped rods</Description><Size>5.5 and 6mm diameter</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ156</BillingCode><Name>Response Spine System - S Rod</Name><Description>Pre-Contoured S-Rods, Shaped, CoCr, Ti</Description><Size>5.5 &amp; 6.0mm diameter  350 - 500mm  Small, Med, Large</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE818</BillingCode><Name>BlackArmor Carbon Fibre/PEEK Curved / Multicurved Rods</Name><Description>The BlackArmor material is a combination of continuous, high-strength carbon-  fiber-reinforced PEEK and a procedure developed by icotec – Injection Moulding CFM (Composite Flow Moulding). The result is a non-metallic implant component with an interwoven 3D fibre architecture that provides unmatched  strength and endurance. BlackArmor® is radiolucent in all diagnostic imaging modes (MRI, CT and X-ray) and will therefore not create imaging artifacts; a significant clinical benefit in the postoperative monitoring of anatomical structures and other forms of treatment.</Description><Size>Curved and Multicurved rods,    Diameter: 6.0mm  Radius: 120mm, 450mm  Length: 40mm-300mm  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER505</BillingCode><Name>LnK Posterior Cervical Fixation System/ CastleLoc-S Posterior Cervical Fixation System-Rod, dual dia</Name><Description>LnK Posterior Cervical Fixation System/ CastleLoc-S Posterior Cervical Fixation System-Rod, dual diameter transitional rod, non-sterile or sterile</Description><Size>3.5 mm transitioning to (4.5-6.0 mm) x overall rod length (300-550) mm)  Rod segment L1 can range between 100-200 mm and Rod segment 2 can range between 100-400 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>384816</ARTG><ARTG>286122</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH744</BillingCode><PriorBillingCodes><PriorBillingCode>LM510</PriorBillingCode></PriorBillingCodes><Name>Curved Rods</Name><Description>Curved Rods</Description><Size>35 to 90 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>366793</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH750</BillingCode><PriorBillingCodes><PriorBillingCode>LM495</PriorBillingCode></PriorBillingCodes><Name>Curved Rod</Name><Description>Curved Rod</Description><Size>Diameter 5.5 or 6 mm  Length 150 to 450 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF028</BillingCode><Name>Rods, Curved</Name><Description>curved and S shaped rods, carbon fiber reinforced polymer</Description><Size>6.0mm x (30-300)mm length</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>288089</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV137</BillingCode><Name>Reline System (Curved Rod)</Name><Description>Curved Rod</Description><Size>5.0- 6.0mm diameter, and 300- 500mm length, CoCr and Ti</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI454</BillingCode><Name>UNiD™ Rods </Name><Description>Curved rods that are preshaped to be patient specific</Description><Size>diameter: 3.5/5.5-6.0mm length: 120 - 750mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>368750</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB077</BillingCode><Name>REVERE Rods Preshaped</Name><Description>Pre-shaped Rods</Description><Size>4.5, 5.5 - 6.35mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB180</BillingCode><Name>CREO ADDITION Headed Rods</Name><Description>Headed, shaped rods of various configurations</Description><Size>Diameter - 5.5mm
Length - 40mm - 230mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN114</BillingCode><Name>EXPEDIUM Spinal System</Name><Description>Pre-Shaped Rod</Description><Size>4.5 - 7.5mm Diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>128257</ARTG><ARTG>97391</ARTG><ARTG>178040</ARTG><ARTG>205380</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI478</BillingCode><PriorBillingCodes><PriorBillingCode>NK095</PriorBillingCode></PriorBillingCodes><Name>Curved Rods</Name><Description>Curved Rods</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN293</BillingCode><Name>SYMPHONY OCT System</Name><Description>Offset rods</Description><Size>3.5-5.5mm Diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY385</BillingCode><Name>Speciality Rods</Name><Description>Scoliosis / J/S Rod, Precontoured, Titanium / Stainless Steel</Description><Size>5mm, 6mm diameter. Left / Right 50mm - 500mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG><ARTG>133401</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT017</BillingCode><Name>SOLFIX2 Pre-bent Rods</Name><Description>Pre-bent (soft rods, minimally invasive rods)</Description><Size>Diameter: 5.5mm, 6mm,  Length: 35mm - 500mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW765</BillingCode><PriorBillingCodes><PriorBillingCode>ER243</PriorBillingCode></PriorBillingCodes><Name>MESA Rail</Name><Description>CoCr and Ti shaped beam rail rods</Description><Size>Diameter: 4.5-5.5mm Length: 375-500mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER285</BillingCode><Name>Premia Spine Versalink Fixation System-Rods (shaped)</Name><Description>Premia Spine Versalink Fixation System-Rods (shaped)</Description><Size>offset and angle (0-30 degrees), length (40-90) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>267145</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV026</BillingCode><Name>VuePoint rod (transition)</Name><Description>Transition Rod</Description><Size>3.5mm to 5.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB152</BillingCode><Name>QUARTEX Tapered Rods</Name><Description>Tapered rods which transition in diameter.</Description><Size>Diameter 3.5mm &amp; 4.0mm transitioning up to 6.5mm 
Length 350mm -500mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB091</BillingCode><Name>CREO Stabilization Tapered Rod</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5
600mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC396</BillingCode><Name>TSRH Spinal Implant System</Name><Description>3D - Rod</Description><Size>Length 20-120mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN268</BillingCode><Name>SYMPHONY OCT System</Name><Description>Straight, hinged, and pre-lordosed rods</Description><Size>3.5-4.0mm diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU056</BillingCode><Name>Perla Posterior Occipito-Cervico-Thoracic fixation system - adjustable occipital rod</Name><Description>Adjustable occipital rod (titanium)</Description><Size>Small, Medium</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY088</BillingCode><PriorBillingCodes><PriorBillingCode>DR033</PriorBillingCode></PriorBillingCodes><Name>Z-Medical Pedicle Screw System - Rods</Name><Description>Z-Medical Pedicle Screw System - Rods 5.5mm, Straight &amp; Curved (Open or Percutaneous)</Description><Size>dia (5.5)mm x length (20-500)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>343676</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI470</BillingCode><PriorBillingCodes><PriorBillingCode>NK085</PriorBillingCode></PriorBillingCodes><Name>Straight rods</Name><Description>Straight rods</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB011</BillingCode><Name>AnyPlus and AnyPlus II Rods</Name><Description>Straight and Pre-bent Rods</Description><Size>Diameter: 5.5mm  Length: 40-200mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>353891</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU008</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Transition Rod</Name><Description>Transition rods - Titanium or cobalt chromium</Description><Size>Diameter: 3.5/5.4 to 6.0 mm  Length: 300mm, 600mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI248</BillingCode><Name>Vertex Spinal System</Name><Description>Rods</Description><Size>20-600mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY024</BillingCode><Name>Katana Rods</Name><Description>Pre-Lordosed, Straight and MIS Rods</Description><Size>Length: 25mm - 200mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB046</BillingCode><Name>ELLIPSE Stabilization System, Rod</Name><Description>Rod</Description><Size>3.5mm Diameter x 40mm - 240mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY446</BillingCode><Name>CerviFix Posterior Cervical System</Name><Description>Rod: Tapered</Description><Size>3.5/5.0 - 3.5/6.0 dual diameter, 300 -500mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ760</BillingCode><Name>Moss Miami (Titanium)</Name><Description>Swedge Rod</Description><Size>One Size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>145010</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB151</BillingCode><Name>QUARTEX Rods</Name><Description>Ttianium alloy and cobalt chrome alloy curved and straight rods</Description><Size>3.5 and 4.0mm diameter, 25-500mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW031</BillingCode><Name>WEGO Spinal Systems </Name><Description>Rods</Description><Size>All sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ101</BillingCode><Name>RESPONSE Spine System – Rod</Name><Description>CoCr, Ti</Description><Size>500mm-600mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB087</BillingCode><Name>CREO Stabilization System Rod</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5 diameter
15mm - 600mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI460</BillingCode><Name>PASS LP System - Rod</Name><Description>Pre-bent rods and straight rods</Description><Size>Diameter: 5.5mm - 6.0mm Length: 30mm - 400mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>295277</ARTG><ARTG>316001</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ724</BillingCode><Name>CD Horizon Spinal System - Offset Rods</Name><Description>Rod</Description><Size>11.4mm – 14.2mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI168</BillingCode><Name>CD HORIZON SOLERA Spinal System </Name><Description>Apex and Tapered Rods</Description><Size>4.75mm to 6.3mm diameter</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ569</BillingCode><Name>MUST pre-curvature rods</Name><Description>Spinal Pre-curvature rods</Description><Size>diameter 5.5-6 length 300-500</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>453885</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB076</BillingCode><Name>REVERE Rods</Name><Description>Rod, precurved and straight</Description><Size>30mm-600mm in 4.5mm 5.5mm and 6.35mm diameter</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY102</BillingCode><PriorBillingCodes><PriorBillingCode>JG011</PriorBillingCode></PriorBillingCodes><Name>VENTOTENE Rods</Name><Description>Straight and Pre-Bended</Description><Size>5.5mm diameter  35-450mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>397231</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ033</BillingCode><Name>Centaur Rod</Name><Description>Standard</Description><Size>30-480mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW033</BillingCode><PriorBillingCodes><PriorBillingCode>ZI916</PriorBillingCode></PriorBillingCodes><Name>Virage Rods</Name><Description>Virage Dual Diameter Rods</Description><Size>3.5/5.5mm x 450mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ148</BillingCode><Name>Evolution Spine Whistler Modular Pedicle Screw System-Rods</Name><Description>Evolution Spine Whistler Modular Pedicle Screw System-Rods, straight, bent, bullet-nosed, Ti or CoCr</Description><Size>Diameter: 5.5 or 6.0 mm Length: 30-500 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>445291</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE800</BillingCode><Name>NorthStar Transition Rod</Name><Description>Transition Rod</Description><Size>3.5mm, 4.0mm – 5.5mm, 6.0mm Diameters  500mm Length  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE772</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Rod</Description><Size>3.5, 4.0mm Diameter  30mm-500mm Lengths</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE667</BillingCode><Name>Mariner Rod</Name><Description>Pre-contoured and straight rods</Description><Size>5.5 &amp; 6.0mm diameter   20mm - 600mm Length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH051</BillingCode><Name>Rod</Name><Description>Rods</Description><Size>80 - 240mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH582</BillingCode><Name>Venus Spinal Fixation System - Rods</Name><Description>Venus - Rods</Description><Size>D 4.0 - 5.5mm L 40-480mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH090</BillingCode><Name>Rod </Name><Description>Rod </Description><Size>Diameter ： 5.5 mm &amp; 6.0 mm  Length : 30 mm - 500 mm   </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY047</BillingCode><PriorBillingCodes><PriorBillingCode>DE527</PriorBillingCode></PriorBillingCodes><Name>Jazz Posterior Fixation System Rod</Name><Description>Straight, contoured and transition rods, titanium and cobalt chrome</Description><Size>4mm - 6mm diameter, 70mm - 600mm length</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY025</BillingCode><PriorBillingCodes><PriorBillingCode>EV039</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw Rod</Name><Description>BA Posterior Screw Rod  Straight/PreBent  CrCo/Titanium</Description><Size>Ø3.5 to 5.5  20-500mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI524</BillingCode><Name>CD Horizon™ ModuLeX™ 5.5 Spinal System - Rod</Name><Description>Rod</Description><Size>Diameter: 5.5mm; Length 25mm - 120mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>422153</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU048</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - rod </Name><Description>Straight rods, pre-bent rods - Titanium or colbalt chromium</Description><Size>Diameter:  5.5, 6mm. Length: 30 - 550mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN169</BillingCode><Name>VIPER Spinal System</Name><Description>Spinal Rods</Description><Size>30-480mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>97391</ARTG><ARTG>128257</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN113</BillingCode><Name>Mountaineer Spine System</Name><Description>OC Adjustable Rod</Description><Size>3.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>145010</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY578</BillingCode><Name>Expedium Spine System</Name><Description>Rods</Description><Size>Length 30–600 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI270</BillingCode><Name>Infinity Spinal System</Name><Description>Straight Rod</Description><Size>Length 120 - 600 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ644</BillingCode><Name>Extra long rod - Expendium Anterior Spine System</Name><Description>Rod - Titanium</Description><Size>5.5mm x 450mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB125</BillingCode><Name>CREO MIS Posterior Stabilization System</Name><Description>Titanium alloy and cobalt chrome straight and curved rods</Description><Size>30-500mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF111</BillingCode><Name>Freedom Systems Rods</Name><Description>Freedom System Rods, Straight and Curved</Description><Size>Diameter 5.5mm, Lengths 40-500mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI269</BillingCode><Name>Infinity Spinal System</Name><Description>Pre - curved rod</Description><Size>Length 25 - 200mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU007</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Rod</Name><Description>Straight rods, pre-bent rods - Titanium or cobalt chromium</Description><Size>Diameter: 3.5mm  Length: 20mm, 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 100mm, 110mm, 120mm, 240mm, 350mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE705</BillingCode><Name>Mariner MIS Rods</Name><Description>Mariner MIS Rods</Description><Size>5.5mm - 6.0mm Diameter.  20-450mm Length.</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH079</BillingCode><Name>ZINA MIS Rod </Name><Description>ZINA MIS Spine System - Rod  </Description><Size>Diameter x Length ( mm )   5.5×30    5.5×35    5.5×40    5.5×45    5.5×50  5.5×55  5.5×60  5.5×65  5.5×70  5.5×75  5.5×80  5.5×85  5.5×90  5.5×95  5.5×100  5.5×110  5.5×120  5.5×130  5.5×140  5.5×150  5.5×160  5.5×170  5.5×180  5.5×190  5.5×200  5.5×210  5.5×220  5.5×230  5.5×240  5.5×250  5.5×300  5.5×350  5.5×400  5.5×450  5.5×500  </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH097</BillingCode><Name>RS8 Long Rod </Name><Description>RS8 Long Rod </Description><Size>Straight &amp; Curved   Diameter : 5.5 mm &amp; 6.0 mm   Length : 30 - 500 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU156</BillingCode><Name>MUST MINI Transition Rod</Name><Description>Transition Rod</Description><Size>Diameter 3.5 / 5.5 &amp; 3.5 / 4.0
Lenght 120 ÷ 600 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW755</BillingCode><PriorBillingCodes><PriorBillingCode>ER201</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems-Transitional Rod</Name><Description>Transitional Rod</Description><Size>3.5-(4.5 /5.5)mm x (300-600)mm length or 5.5/5.5mm x 495 rod/rail</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER556</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Multiple diameter rod  </Name><Description>Dual Diameter Transition Rods, Ti or CoCr  </Description><Size>Ø 3.0 - Ø6.0mm range in various sizes  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE670</BillingCode><Name>icotec Pedicle System Rod</Name><Description>Pre-bent and straight rods</Description><Size>5.5, 5.7, mm &amp; 6.0mm diameter   30-500 mm Length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>283854</ARTG><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ105</BillingCode><PriorBillingCodes><PriorBillingCode>SQ128</PriorBillingCode><PriorBillingCode>SQ128</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - Rod</Name><Description>Shaped, Titanium Alloy</Description><Size>30mm - 100mm length</Size><SupplierCode>AAE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>289017</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA015</BillingCode><PriorBillingCodes><PriorBillingCode>OH352</PriorBillingCode></PriorBillingCodes><Name>Novel/Zenius Rods</Name><Description>Rod</Description><Size>5.5, 6.0, 6.5</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>148858</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH078</BillingCode><Name>Kumafix Rod </Name><Description>Rod </Description><Size>Length : 30-500 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM437</BillingCode><PriorBillingCodes><PriorBillingCode>NK118</PriorBillingCode></PriorBillingCodes><Name>Amendia Savannah-T Pedicle Screw System-Rods</Name><Description>Pedicle Screw System-Rods, Straight and curved</Description><Size>dia 5.5 mm x length (30-500 mm)</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>281992</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH712</BillingCode><Name>Athena Rod</Name><Description>titanium alloy rods in both straight and curved </Description><Size>Diameter 5.5mm  Lengths 25mm -700mm  </Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>337150</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV136</BillingCode><Name>Reline System (Tapered Rod)</Name><Description>Tapered Rod</Description><Size>5.0- 6.0mm diameter, and 300-500mm length, Ti and CoCr</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB372</BillingCode><Name>Aesculap Spinal System</Name><Description>Straight Rods - Titanium Alloy</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF005</BillingCode><Name>Smartloc Spinal Fixation System / Fixation Rod</Name><Description>Fixation Rod for Smartloc Spinal Fixation System</Description><Size>40mm - 80mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>150778</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV025</BillingCode><Name>VuePoint rod</Name><Description>Rod</Description><Size>60mm x 3.5mm, 120mm x 3.5mm, 240mm x 3.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV028</BillingCode><Name>VuePoint rod (pre-bent)</Name><Description>Pre-bent rod</Description><Size>80-240mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH751</BillingCode><PriorBillingCodes><PriorBillingCode>LM494</PriorBillingCode></PriorBillingCodes><Name>Straight Rod</Name><Description>Straight Rod</Description><Size>Diameter 5.5 or 6 mm  Length 35 - 505 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH457</BillingCode><Name>DSS Fusion Coupler</Name><Description>The DSS Fusion Coupler is a telescoping coupler that rigidly joins the DSS pedicle screws.</Description><Size>20mm - 22mm
22mm - 25mm
25mm - 31mm
31mm - 43mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1479</GroupID><ARTGs><ARTG>151022</ARTG></ARTGs><MinimumBenefit>1056</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC543</BillingCode><Name>Vertex Spinal System</Name><Description>Plate/rod</Description><Size>80 - 240mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>171</SubCategoryID><GroupID>1481</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1905</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY445</BillingCode><Name>CerviFix Posterior Cervical System</Name><Description>Occipital Plate Rod</Description><Size>one size</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>171</SubCategoryID><GroupID>1481</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>1905</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER320</BillingCode><Name>Ulrich posterior OCT System (neon3)-Plate-rod</Name><Description>Ulrich posterior OCT System (neon3)-Occipital plate, lateral, with rod</Description><Size>One size</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>171</SubCategoryID><GroupID>1481</GroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1905</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY150</BillingCode><Name>Universal Spine System (USS)</Name><Description>Washers</Description><Size>Pointed, Flat, 4.2 - 7mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>133921</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB168</BillingCode><Name>REVERE Anterior Staple System - Washer</Name><Description>Washers and Stackable Washers</Description><Size>5.5mm - 8.5mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB032</BillingCode><Name>REVERE Blocking Plate, Anterior Screw</Name><Description>Blocking Plate</Description><Size>One Size</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH584</BillingCode><Name>Venus - Spinal Fixation System - Washers</Name><Description>Venus Washers</Description><Size>STD, SP</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>316187</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW024</BillingCode><Name>WEGO Spinal Systems</Name><Description>Washer</Description><Size>Various</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ649</BillingCode><Name>Washer &amp; Single Hole Staple - Expedium Anterior Spine System</Name><Description>Washer and Single Hole Staple - Titanium</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI463</BillingCode><Name>PASS LP System - Plates</Name><Description>Sacral Plate, Sacroilac Plate, Sacral Cap Plate Cover</Description><Size>one size</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>316001</ARTG><ARTG>295277</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW739</BillingCode><PriorBillingCodes><PriorBillingCode>ER033</PriorBillingCode></PriorBillingCodes><Name>ARI Anterior Staple System - Washer</Name><Description>The ARI Anterior Staple System - washer</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ034</BillingCode><Name>Centaur Screw System, Centaur Washer</Name><Description>Washer</Description><Size>1 size</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ770</BillingCode><Name>Expedium Spine System</Name><Description>Washer</Description><Size>Various</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER594</BillingCode><PriorBillingCodes><PriorBillingCode>OF072</PriorBillingCode></PriorBillingCodes><Name>Blackstone Washers</Name><Description>Titanium</Description><Size>2mm, 3mm, 4mm, 5mm, 6mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH453</BillingCode><Name>DSS Washer</Name><Description>The DSS Washer is a washer that is an integral part of the DSS construct. The DSS construct can  not be used without the washer nor can the washer be used as a separate implant.</Description><Size>One size only</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>151022</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH757</BillingCode><PriorBillingCodes><PriorBillingCode>LM424</PriorBillingCode></PriorBillingCodes><Name>Silex Washer</Name><Description>Silex Washer</Description><Size>13mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>228758</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH753</BillingCode><PriorBillingCodes><PriorBillingCode>LM466</PriorBillingCode></PriorBillingCodes><Name>Silex Sacroiliac Joint Fusion System</Name><Description>Washers for the Silex Sacroiliac Joint Fusion System</Description><Size>11, 13 &amp; 15mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>228758</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH451</BillingCode><Name>DSS Spacer</Name><Description>The DSS Spacer is an integral component of the DSS pedicle screw construct. It is used on the mono-axial DSS screw and is used each time a screw is placed. It can not be used on its own.</Description><Size>One size only</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1482</GroupID><ARTGs><ARTG>151022</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW029</BillingCode><Name>WEGO Spinal Systems</Name><Description>Staple</Description><Size>Various</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ771</BillingCode><Name>Expedium Spine System</Name><Description>Staple</Description><Size>Various</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY027</BillingCode><Name>Katana Staple</Name><Description>The Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine.</Description><Size>13-25mm, Caudal, Rostral, Single</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>396083</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ657</BillingCode><Name>Single Hole Staple - Expedium Anterior Spine System</Name><Description>Single Hole Staple - Titanium</Description><Size>One Size Only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB181</BillingCode><Name>REFLECT Staple</Name><Description>Three prong threaded staple</Description><Size>5.0 mm - 7.5 mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><Note>The Prostheses List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).</Note><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC614</BillingCode><Name>Vantage</Name><Description>Vantage Plates and Screws; Staple (rostral/caudal)</Description><Size>One Size Only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC437</BillingCode><Name>CD-Horizon</Name><Description>Staples</Description><Size>10 - 30mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB031</BillingCode><Name>REVERE Integrated Staple Head Plate</Name><Description>Integrated Staple Head Plate</Description><Size>small, medium, large, x-large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB167</BillingCode><Name>REVERE Anterior Single Staple</Name><Description>Single anterior staple constructed of Titanium Alloy</Description><Size>small, medium, large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ044</BillingCode><Name>Centaur Screw System, Centaur Staple</Name><Description>Staple</Description><Size>small - extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB166</BillingCode><Name>REVERE Anterior Dual Staple</Name><Description>Dual Anterior Staple constructed of Titanium Alloy</Description><Size>small, medium, large, x-large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ643</BillingCode><Name>Dual Hole Staple - Expendium Anterior Spine System</Name><Description>Dual Hole Staple - Titanium</Description><Size>Small to Xlarge - 4 sizes</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW738</BillingCode><PriorBillingCodes><PriorBillingCode>ER032</PriorBillingCode></PriorBillingCodes><Name>ARI Anterior Staple System - Staple</Name><Description>A non-cervical anterolateral thoracolumbar screw stabilization as an adjunct to fusion.</Description><Size>Single Hole Design and Dual Hole Design: 13mm, Left &amp; Right; 16mm, Left &amp; Right; 18mm, Left &amp; Right.</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK242</BillingCode><Name>Xia Spinal System</Name><Description>Titanium or Stainless Steel</Description><Size>Single Hole Staple; Dual Hole Staples (Caudal/Rostral) - Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>94635</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW774</BillingCode><PriorBillingCodes><PriorBillingCode>ER475</PriorBillingCode></PriorBillingCodes><Name>KEYS Anterior Staple</Name><Description>Staple</Description><Size>13-18mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>172</SubCategoryID><GroupID>1483</GroupID><ARTGs><ARTG>154442</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY145</BillingCode><Name>Universal Spine System (USS)</Name><Description>Half Ring</Description><Size>SS, Standard, Self-Holding</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>173</SubCategoryID><GroupID>1484</GroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC436</BillingCode><Name>CD-Horizon</Name><Description>C-ring</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>173</SubCategoryID><GroupID>1484</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FC008</BillingCode><Name>GL-DTRAX Expandable Cage System</Name><Description>Expandable titanium cage</Description><Size>One Size</Size><SupplierCode>FC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1487</GroupID><ARTGs><ARTG>290977</ARTG></ARTGs><MinimumBenefit>1317</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FC010</BillingCode><Name>GL-DTRAX Cervical Cage- T</Name><Description>Titanium Cervical Cage</Description><Size>One Size</Size><SupplierCode>FC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1487</GroupID><ARTGs><ARTG>293579</ARTG></ARTGs><MinimumBenefit>1317</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FC009</BillingCode><Name>GL -DTRAX Cervical Cage- B</Name><Description>Cervical Cage with integral fixation.</Description><Size>One Size</Size><SupplierCode>FC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1487</GroupID><ARTGs><ARTG>293579</ARTG></ARTGs><MinimumBenefit>1317</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ020</BillingCode><Name>ZygoLoc</Name><Description>Facet Fusion Cage</Description><Size>3-15mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1487</GroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>1317</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JP001</BillingCode><PriorBillingCodes><PriorBillingCode>JA021</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L Superior Plate Component</Name><Description>Pro-Disc L Superior Plate Component</Description><Size>3 Degree, 6 Degree, 11 Degree, Medium, Large</Size><SupplierCode>JP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JP002</BillingCode><PriorBillingCodes><PriorBillingCode>JA022</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L Inferior Plate Component</Name><Description>Pro-Disc L Inferior Plate Component</Description><Size>0 Degree, 6 Degree, 8 Degree, Medium, Large</Size><SupplierCode>JP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC029</BillingCode><PriorBillingCodes><PriorBillingCode>JA033</PriorBillingCode></PriorBillingCodes><Name>Spine Solutions Prodisc</Name><Description>Artificial mechanical disc, superior plate component</Description><Size>3 Degree, 6 Degree, 11 Degree, Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>299018</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC030</BillingCode><PriorBillingCodes><PriorBillingCode>JA034</PriorBillingCode></PriorBillingCodes><Name>Spine Solutions Prodisc</Name><Description>Artificial mechanical disc, inferior plate component</Description><Size>0 Degree, 3 Degree, 8 Degree,Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>299018</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC027</BillingCode><PriorBillingCodes><PriorBillingCode>JA021</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L Superior Plate Component</Name><Description>Pro-Disc L Superior Plate Component</Description><Size>3 Degree, 6 Degree, 11 Degree, Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC028</BillingCode><PriorBillingCodes><PriorBillingCode>JA022</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L Inferior Plate Component</Name><Description>Pro-Disc L Inferior Plate Component</Description><Size>0 Degree, 6 Degree, 8 Degree, Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1489</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>3891</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JP003</BillingCode><PriorBillingCodes><PriorBillingCode>JA023</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L - Core Component - Polyethylene Inlay</Name><Description>Pro-Disc L - Core Component - Polyethylene Inlay</Description><Size>10, 12, 14mm, Medium, Large</Size><SupplierCode>JP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1490</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>1065</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC032</BillingCode><PriorBillingCodes><PriorBillingCode>JA035</PriorBillingCode></PriorBillingCodes><Name>Spine Solutions Prodisc</Name><Description>Artificial mechanical disc, polyethylene inlay</Description><Size>10,12,14mm, Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1490</GroupID><ARTGs><ARTG>299018</ARTG></ARTGs><MinimumBenefit>1065</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC031</BillingCode><PriorBillingCodes><PriorBillingCode>JA023</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc L - Core Component - Polyethylene Inlay</Name><Description>Pro-Disc L - Core Component - Polyethylene Inlay</Description><Size>10, 12, 14mm, Medium, Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1490</GroupID><ARTGs><ARTG>323814</ARTG></ARTGs><MinimumBenefit>1065</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ727</BillingCode><Name>DIVA Cervical Corpectomy Cage</Name><Description>PEEK Cervical Corpectomy Cage</Description><Size>Size 14mm to 30mm, Small and Standard, 5 degree</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>462207</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP513</BillingCode><Name>Stackable Corpectomy CFRP Cage System</Name><Description>Stackable Cage</Description><Size>Xsmall-Xlarge</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>98094</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC632</BillingCode><Name>Verte-Stack</Name><Description>XS Centre Piece. Stackable Corpectomy Device.</Description><Size>Height 5-50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV145</BillingCode><Name>Monolith Corpectomy System</Name><Description>Vertebral Body Replacement System</Description><Size>Diameter 12-14mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>209197</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ023</BillingCode><Name>VerteLoc Spine System</Name><Description>Locking Nut</Description><Size>one size only</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW752</BillingCode><PriorBillingCodes><PriorBillingCode>ER175</PriorBillingCode></PriorBillingCodes><Name>Santorini Stackable Corpectomy Cage-Small</Name><Description>Corpectomy Cage, Peek  </Description><Size>(12x17)mm footprint x (2-62)mm height</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>204117</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW753</BillingCode><PriorBillingCodes><PriorBillingCode>ER176</PriorBillingCode></PriorBillingCodes><Name>Santorini Stackable Corpectomy Cage-Medium/Large</Name><Description>Corpectomy Cage, Peek </Description><Size>(16x20) or (21x25)mm footprint x (2-98)mm height</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>204117</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ021</BillingCode><Name>VerteLoc Spine System</Name><Description>Locking Screw</Description><Size>20mm - 150mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ022</BillingCode><Name>VerteLoc Spine System</Name><Description>Stackable Cage</Description><Size>Extra Small- Extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER164</BillingCode><Name>Signus Athlet VBR System - Main Body</Name><Description>Peek Vertebral Body Replacement System (Main body)</Description><Size>12, 18, 24, 30, 36 and 42mm lengths</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>216750</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER165</BillingCode><Name>Signus Athlet VBR System - End Body</Name><Description>Peek Vertebral Body Replacement System (End body)</Description><Size>4, 6, 8mm heights</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>216750</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK338</BillingCode><Name>VBOSS/VLIFT</Name><Description>Cage Body</Description><Size>Available from 10 to 25mm in Diameter and from 8 to 120mm in Length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>315419</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC449</BillingCode><Name>Pyramesh</Name><Description>Angled</Description><Size>25 - 150mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY294</BillingCode><Name>Synmesh</Name><Description>Mesh, Round</Description><Size>6mm - 88mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC379</BillingCode><Name>Pyramesh</Name><Description>Titanium Surgical Mesh</Description><Size>5 - 50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB196</BillingCode><Name>COLOSSEUM Mesh Corpectomy Spacer</Name><Description>Titanium mesh corpectomy spacer</Description><Size>12-25mm X 14-30mm, 8-120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>325140</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC450</BillingCode><Name>Pyramesh</Name><Description>Curved / Round</Description><Size>20 - 150mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC378</BillingCode><Name>Pyramesh</Name><Description>Titanium Surgical Mesh</Description><Size>51 - 500mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH657</BillingCode><Name>HTS Leander Cervical Vertebral Body Replacement</Name><Description>Titanium alloy implant base bodies available in different heights for different defect heights</Description><Size>Diameter 11.5mm; Height 16mm - 55mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>372782</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC451</BillingCode><Name>Pyramesh</Name><Description>Ovoid</Description><Size>8 - 130mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY293</BillingCode><Name>Synmesh</Name><Description>Mesh, Oblong</Description><Size>6mm - 88mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF002</BillingCode><Name>A-Mesh Spinal Titanium Mesh Spacer</Name><Description>A-Mesh® Spinal Titanium Mesh is designed to restore biomechanical integrity throughout the thoracic and lumbar spine following vertebrectomy or corpectomy for patients with spine tumors or fractures.</Description><Size>Diameter: 10mm, Length: 20mm, 50mm 70mm
Diameter: 12mm, Length: 20mm, 50mm, 70mm
Diameter: 14mm, Length: 20mm, 50mm, 70mm
Diameter: 16mm, Length: 20mm, 50mm, 70mm, 90mm
Diameter: 20mm, Length: 20mm, 50mm, 70mm, 90mm
Diameter: 25mm, Length: 20mm, 50mm, 70mm, 90mm
Diameter: 30mm, Length: 20mm, 50mm, 70mm, 90mm
Diameter: 35mm, Length: 20mm, 50mm, 70mm, 90mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>187179</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV017</BillingCode><Name>Titanium Mesh</Name><Description>Oval/Flat/Long/Round</Description><Size>20mm + Diameter, 30mm - 90mm Length</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>132467</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB054</BillingCode><Name>Titanium Spinal Mesh</Name><Description>Mesh, Round</Description><Size>18 - 90 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1494</GroupID><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC821</BillingCode><Name>T2</Name><Description>End Cap</Description><Size>13-31 mm, 0, 4, 8, 15 degree lordosis</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK424</BillingCode><Name>VBOSS / VLIFT</Name><Description>End cap</Description><Size>Sizes 10 to 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>315105</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY295</BillingCode><Name>Synmesh</Name><Description>End rings</Description><Size>round/oblong</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB055</BillingCode><Name>Titanium Spinal Mesh</Name><Description>End rings</Description><Size>10 - 24 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB197</BillingCode><Name>COLLOSSEUM Mesh Endcap</Name><Description>Endcap</Description><Size>12-25mm X 14-30mm, 2-8mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>325140</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF020</BillingCode><Name>A-Mesh Spinal Titanium Mesh Plate and Set Screw</Name><Description>A-Mesh Spinal Titanium Mesh is designed to restore biomechanical integrity throughout the thoracic and lumbar spine following vertebrectomy or corpectomy for patients with spine tumors or fractures</Description><Size>Diameter 10m 12, 14, 16, 20, 15, 30 or 35mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>187179</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH658</BillingCode><Name>HTS Leander VBR Endplates</Name><Description>Titanium alloy Endplates available in different widths and angles for adaption to different vertebral body structures</Description><Size>Length 12-14mm; Width 14-16mm; Angle 2.5, 5, 7.5 degrees</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>372782</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC539</BillingCode><Name>Pyramesh</Name><Description>End ring/cap</Description><Size>10 - 25mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1495</GroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>1030</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ302</BillingCode><Name>3DFusion VCL Core </Name><Description>3DFusion VCLCore is part of the 3DFusion VCL System, a patient-specific thoraco-lumbar vertebrectomy system intended to immobilize, stabilize and maintain the space between instrumented spinal segments in order to allow bone fusion in the thoraco-lumbar, lumbar or lumbo-sacral spine. </Description><Size>22mm-92mm </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE759</BillingCode><Name>KONG-C</Name><Description>KONG-C VBR Endplates</Description><Size>14x13mm, 16x13mm, 18x14mm  5.5mm Height  0,3 &amp; 6 Degree Angles</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>345871</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE758</BillingCode><Name>KONG-C</Name><Description>KONG-C VBR Body</Description><Size>13mm Diameter  16-66mm, Height</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>345871</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB131</BillingCode><Name>Niko Corpectomy Spacer</Name><Description>PEEK Thoracolumbar pre-assembled corpectomy cage</Description><Size>Width 12 and 14mm, Length 14mm and 16mm, Height 15-33mm in 2mm increments</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB140</BillingCode><Name>Fortify® I-R Static Corpectomy Spacer System -Spacer</Name><Description>PEEK spacer with integrated titanium plates</Description><Size>Footprint - 12 X14mm   Heights 15-33mm (2mm increments)</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW748</BillingCode><PriorBillingCodes><PriorBillingCode>ER138</PriorBillingCode></PriorBillingCodes><Name>Santorini Solid Corpectomy Cage System</Name><Description>Cage, fixed height, Peek</Description><Size>(12x14) or (16x20) mm footprint x (18-62) mm height</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>204117</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW768</BillingCode><PriorBillingCodes><PriorBillingCode>ER409</PriorBillingCode></PriorBillingCodes><Name>Capri Small Solid Corpectomy Cage System</Name><Description>Non Stackable vertebral body replacement</Description><Size>(12 x14)mm or (13x16)mm footprint</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1814</GroupID><ARTGs><ARTG>291618</ARTG></ARTGs><MinimumBenefit>3340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV064</BillingCode><Name>Affix Plate</Name><Description>Spinous process plate with an integrated canted-coil locking mechanism.</Description><Size>25mm - 55mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>177</SubCategoryID><GroupID>1496</GroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC637</BillingCode><Name>CD Horizon</Name><Description>Spire Plate</Description><Size>35-41mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>177</SubCategoryID><GroupID>1496</GroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU032</BillingCode><Name>Romeo 2 PAD System</Name><Description>Interspinous fusion device</Description><Size>8mm to 18mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>177</SubCategoryID><GroupID>1496</GroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB113</BillingCode><Name>SP-Fix™ Spinous Process Fixation</Name><Description>Posterior non-pedicle supplemental fixation device</Description><Size>35-55mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>177</SubCategoryID><GroupID>1496</GroupID><ARTGs><ARTG>237299</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER345</BillingCode><Name>Signus Diana SI Joint Fusion Device</Name><Description>The DIANA® sacroiliac fusion device is a titanium alloy, tapered hollow cylindrical implant with radial fenestrations to encourage bony in-growth and a threaded outer surface for fixation and stabilisation of the sacroiliac joint.</Description><Size>Tapered design: dia at wide point (13-21 mm) x dia at narrow point (12-20mm) x length 30mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>216752</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ531</BillingCode><PriorBillingCodes><PriorBillingCode>DE608</PriorBillingCode></PriorBillingCodes><Name>iFuse Implant System-Implant</Name><Description>iFuse Implant System-Implant</Description><Size>4-10.75 mm; length 30-90 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>212886</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DE608
Sponsor transferred from DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.</ChangeExplanation><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER678</BillingCode><Name>Orthofix Firebird SI Fusion System</Name><Description>Firebird SI Fusion System, cannulated, fenestrated, Ti, sterile</Description><Size>Diameter: 9-12 mm, Length 25-70 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>405333</ARTG><ARTG>405334</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH759</BillingCode><PriorBillingCodes><PriorBillingCode>LM422</PriorBillingCode></PriorBillingCodes><Name>Silex Joint Fixation Device</Name><Description>Single-Thread Sacroiliac Anchor Implant or Dual-Thread Sacroiliac Anchor Implant</Description><Size>12.5mm x 30-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>228758</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB062</BillingCode><Name>SI-LOK Stabilization System</Name><Description>Fusion Screw</Description><Size>8.0-12.0mm diameter x 25-60mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>199414</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI197</BillingCode><Name>Rialto</Name><Description>SI Fusion System</Description><Size>12mm Dia. 40mm to 60mm Length</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>281942</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU164</BillingCode><Name>M.U.S.T. Sacro-Iliac Joint Screws and Washers</Name><Description>Headless and Standard Sacro-Iliac Joint Screws and Washers</Description><Size>Headless SI screws: Ø 7.5-11 mm, Lenght 30-100 mm.   Standard SI screws: Ø 8-10 mm, Lenght 25-80 mm.   Washers: Standard version Ø 13-20 mm; Favored angle version Ø 15-20 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>261</SubCategoryID><GroupID>1821</GroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>301842</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER305</BillingCode><Name>Barricaid</Name><Description>Annular replacement prosthesis</Description><Size>Height: 14mm; Width 8mm, 10mm, 12mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>263</SubCategoryID><GroupID>1823</GroupID><ARTGs><ARTG>273822</ARTG></ARTGs><MinimumBenefit>4954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK196</BillingCode><Name>Exeter Hip System - ETS (endoprosthesis trauma stem)</Name><Description>Orthinox Stainless Steel Endoprosthesis unipolar monoblock</Description><Size>40mm Offset body with monoblock head sizes 38mm, 40mm, 41mm, 42mm, 43mm, 44mm, 45mm, 46mm, 47mm, 48mm, 49mm, 50mm, 52mm, 54mm, 56mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1416</GroupID><ARTGs><ARTG>255313</ARTG></ARTGs><MinimumBenefit>517</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH658</BillingCode><PriorBillingCodes><PriorBillingCode>OO118</PriorBillingCode></PriorBillingCodes><Name>Mutars RS revision system - Proximal component</Name><Description>RS proximal component</Description><Size>127 degrees, 32/42mm, 135 degrees, 32/42mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><Suffix>Complex (Neck)</Suffix><ARTGs><ARTG>284587</ARTG><ARTG>238834</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI553</BillingCode><Name>M/L Taper Kinectiv Neck</Name><Description>Neck component for M/L taper stem</Description><Size>size K, S, A, E, P, X, B, G, R, C, J, D, K1, S1, AA, E1, P1, X1, K2, E2, BB, G1, R1 ,S2, P2, G2, CC, J1, X2, R2, J2, DD</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>208721</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB296</BillingCode><Name>Metha - Modular neck adaptors</Name><Description>Modular neck adaptors made from CoCr</Description><Size>CCD - 130°, 135 °, 140°; Offset  - 0mm, -5mm ,+5mm; Version - 7.5° left ante/right retro, 0 °, 7.5 ° left retro/right ante</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>126457</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI052</BillingCode><Name>Modular Neck for Acor &amp; Integrale Femoral Stems</Name><Description>Titanium neck, with varying alignments &amp; tapers</Description><Size>4 sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>210537</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC029</BillingCode><Name>Modular Neck</Name><Description>Modular Neck Segment - CoCrMo</Description><Size>Size 1-6, Sm &amp; Lg in STD, LAT, AVR/RVL, AVL/RVR</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>210671</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT003</BillingCode><PriorBillingCodes><PriorBillingCode>TZ014</PriorBillingCode></PriorBillingCodes><Name>S.F Modula Neck</Name><Description>S.F Modula Neck. Titanium for use with Adler Modular Hip Stems</Description><Size>OX, OY, OZ, OA, OB, OC, 9X, 9Y, 9Z, 9A, 9B, 9C, 9AA, 9BB, 9CC</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>289075</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV041</BillingCode><Name>Profemur Modular Neck</Name><Description>CoCr Femoral Necks</Description><Size>Straight Short &amp; Long, Ante/Retro Varus/ Valgus 1,2 Short &amp; Long, Ante/Retro Short &amp; Long - 8 &amp; 15 degrees</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1417</GroupID><ARTGs><ARTG>234443</ARTG></ARTGs><MinimumBenefit>1029</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ689</BillingCode><Name>EPORE Acetabular Augment System</Name><Description>Highly porous titanium alloy acetabular spacer, buttress and shim augments</Description><Size>8mm spacers 46/10  to 70/30 , buttress left posterior/right anterior , right posterior/left anterior, Straight 54-58mm. Shims 5-15 degrees</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>389744</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU165</BillingCode><Name>Mpact Acetabular System</Name><Description>3D Metal Augments</Description><Size>50-80 mm.  Thickness 10 ÷ 30 mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>307500</ARTG></ARTGs><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL163</BillingCode><Name>REDAPT Acetabular Augment</Name><Description>Titanium Alloy Acetabular Augment</Description><Size>50 to 74mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>292977</ARTG></ARTGs><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN150</BillingCode><Name>Pinnacle Acetabular System</Name><Description>Gripton Ti-Foam Augments</Description><Size>Wedges 52-72, buttress 56-68 or shim 5 to 15 degrees</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>248252</ARTG></ARTGs><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI276</BillingCode><Name>Trabecular Metal Acetabular Augment</Name><Description>Tantalum acetabular augment</Description><Size>40 - 70mm x 10, 15, 20 &amp;30mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>115915</ARTG></ARTGs><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ691</BillingCode><Name>MUTARS PRS</Name><Description>EPORE Reconstruction Full Acetabular Augment</Description><Size>52 to 72mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>389744</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC025</BillingCode><Name>Delta Hemispheric Acetabular Cup</Name><Description>Delta Hemispheric Acetabular Cup Ti6AI4V</Description><Size>50 - 62mm &amp; Eccentricity 12-18mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><ARTGs><ARTG>210763</ARTG></ARTGs><MinimumBenefit>1175</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI271</BillingCode><Name>Trabecular Metal acetabular Medial wall augment</Name><Description>Tantalum disc</Description><Size>26mm, 32mm and 38mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><ARTGs><ARTG>115915</ARTG></ARTGs><MinimumBenefit>1175</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW473</BillingCode><Name>Restoration Acetabular Wedge Augment System</Name><Description>The Restoration Acetabular Wedge Augment System is designed for hip surgeries requiring additional acetabular component support in cases where host bone is insuficient. 

The Wedge Augments provide the intraoperative flexibility to optimize screw placement.</Description><Size>Outer Diameter 46mm, Inner Diameter 48, Thickness 15mm Screw Holes 3
Outer Diameter 46mm, Inner Diameter 48, Thickness 20mm Screw Holes 4
Outer Diameter 46mm, Inner Diameter 48, Thickness 25mm Screw Holes 4
Outer Diameter 50mm, Inner Diameter 52, Thickness 15mm Screw Holes 3
Outer Diameter 50mm, Inner Diameter 52, Thickness 20mm Screw Holes 4
Outer Diameter 50mm, Inner Diameter 52, Thickness 25mm Screw Holes 4
Outer Diameter 54mm, Inner Diameter 56, Thickness 15mm Screw Holes 4
Outer Diameter 54mm, Inner Diameter 56, Thickness 20mm Screw Holes 6
Outer Diameter 54mm, Inner Diameter 56, Thickness 25mm Screw Holes 6
Outer Diameter 58mm, Inner Diameter 60, Thickness 15mm Screw Holes 6
Outer Diameter 58mm, Inner Diameter 60, Thickness 20mm Screw Holes 6
Outer Diameter 58mm, Inner Diameter 60, Thickness 25mm Screw Holes 6
Outer Diameter 62mm, Inner Diameter 64, Thickness 15mm Screw Holes 6
Outer Diameter 62mm, Inner Diameter 64, Thickness 20mm Screw Holes 8
Outer Diameter 62mm, Inner Diameter 64, Thickness 25mm Screw Holes 8
Outer Diameter 66mm, Inner Diameter 68, Thickness 15mm Screw Holes 6
Outer Diameter 66mm, Inner Diameter 68, Thickness 20mm Screw Holes 8</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1433</GroupID><Suffix>Bone Reconstruction</Suffix><ARTGs><ARTG>192159</ARTG></ARTGs><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ844</BillingCode><Name>Reclaim Revision Hip System - Bolt</Name><Description>Locking Bolt</Description><Size>75-105mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>242912</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO188</BillingCode><Name>Link MP Reconstruction Expansion Bolt</Name><Description>MP Reconstruction Expansion Bolt</Description><Size>41mm, 61mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>257495</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH692</BillingCode><PriorBillingCodes><PriorBillingCode>OO144</PriorBillingCode></PriorBillingCodes><Name>MUTARS - M10 Screw</Name><Description>M10 Screw - Tumour System and Arthrodesis Interlocking System</Description><Size>25mm - 245mm Length</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>250194</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH691</BillingCode><PriorBillingCodes><PriorBillingCode>OO142</PriorBillingCode></PriorBillingCodes><Name>MUTARS RS screw for coupling device</Name><Description>RS coupling device screw</Description><Size>60-140mm length M8</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>250353</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH617</BillingCode><PriorBillingCodes><PriorBillingCode>OO030</PriorBillingCode></PriorBillingCodes><Name>Mutars RS revision system - bolt</Name><Description>RS bolt</Description><Size>40,50,65,75,90,100,115,125mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>250156</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH696</BillingCode><PriorBillingCodes><PriorBillingCode>OO148</PriorBillingCode></PriorBillingCodes><Name>MUTARS LUMiC Screw, M6</Name><Description>M6 Screw used to bolt the LUMiC Cup and LUMiC Stem together</Description><Size>28mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>250195</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG005</BillingCode><Name>MRP Titan Locking Bolt</Name><Description>Bolt used to lock together the proximal femoral component to the femoral stem of a modular revision hip system</Description><Size>Short &amp; Long</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>311586</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI860</BillingCode><Name>Segmental Trabecular Proximal Femoral Component - Bolt</Name><Description>4mm Bolt
7mm Bolt
Set Screw</Description><Size>4mm and 7mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1434</GroupID><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI109</BillingCode><Name>G7 Acetabular Low Profile Dome Screw and Biomet Low Profile Self Tapping Bone Screw</Name><Description>Screw, Acetabular</Description><Size>6.5mm dia x (15 - 70)mm length</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>210290</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF012</BillingCode><Name>Atlas Acetabular Cup System</Name><Description>Screw</Description><Size>Atlas Screw Dia 6.5mm 15-50mm L</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW011</BillingCode><Name>ABG Hip System</Name><Description>Bone screw - Titanium, used with ABG11 Cups</Description><Size>12,15,20,25,30,35,40,45 and 50mm lengths</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>242299</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI047</BillingCode><Name>Femoral Shaft Locking Screw</Name><Description>Titanium femoral locking screw</Description><Size>6.2 diameter, 13 lengths 20-80 in 5mm increments</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>135326</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH618</BillingCode><Name>Mutars RS revision system - bone screws</Name><Description>RS bone screw</Description><Size>25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>237075</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB238</BillingCode><Name>Acetabular Fixation Screws</Name><Description>Isotan</Description><Size>16mm-68mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>98978</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW047</BillingCode><Name>Exeter Hip System</Name><Description>X-Change Bone Screws -  Stainless Steel</Description><Size>3.5mm X 10, 15, 20, 25, 30, 35mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>128022</ARTG><ARTG>16232</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA514</BillingCode><Name>Acetabular Screws</Name><Description>Titanium cancellous bone screws</Description><Size>varying lengths and sizes</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>241996</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV036</BillingCode><Name>Bone Screw</Name><Description>Cancellous Bone Screw Titanium</Description><Size>6.5mm x 1.5 – 6 cm in 0.5cm increments</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>247558</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX006</BillingCode><Name>Novation Crown Cup Screws</Name><Description>Titanium cortical bone screws</Description><Size>Full radius tip: 6.5mm x 15mm, 6.5mm x 20mm, 6.5mm x 25mm, 6.5mm x 30mm, 6.5mm x 35mm, 6.5mm x 40mm, 6.5mm x 45mm, 6.5mm x 50mm, 6.5mm x 55mm, 6.5mm x 60mm, 6.5mm x 70mm; Peripheral Rim screw: 4.5mm x 25mm, 4.5mm x 30mm, 4.5mm x 35mm, 4.5mm x 40mm, 4.5mm x 45mm, 4.5mm x 50mm, 4.5mm x 55mm, 4.5mm x 60mm, 4.5mm x 65mm, 4.5mm x 70mm; Pointed tip: MBA 6.5mm x 15mm, MBA 6.5mm x 20mm, MBA 6.5mm x 25mm, MBA 6.5mm x 30mm, MBA 6.5mm x 35mm, MBA 6.5mm x 40mm, MBA 6.5mm x 45mm, MBA 6.5mm x 50mm, MBA 6.5mm x 55mm, MBA 6.5mm x 60mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>250113</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH438</BillingCode><Name>Samo Acetabular Cup bone screw</Name><Description>Bone screw</Description><Size>20 - 40 mm</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC024</BillingCode><Name>Lima Bone Screw</Name><Description>Titanium  Bone Screw</Description><Size>Dia. 4.5mm to 6.5mm
Length 15mm - 90mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>168711</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN007</BillingCode><PriorBillingCodes><PriorBillingCode>RL006</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic bone screw, non-biodegradable</Name><Description>Acetabular shell cancellous bone screw</Description><Size>8 x sized from 20mm - 60mm</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>237105</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK027</BillingCode><PriorBillingCodes><PriorBillingCode>GO261</PriorBillingCode></PriorBillingCodes><Name>Novae Double Cup Cortical Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>5mm diameter, 30 to 65mm length in 5mm increments</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>246511</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU127</BillingCode><Name>Medacta Cortical Bone Screws</Name><Description>Titanium cortical bone screws</Description><Size>25 - 70 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>219907</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM041</BillingCode><Name>Universal Cancellous Bone Screws</Name><Description>Cancellous bone screw titanium</Description><Size>15-60mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>181252</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU014</BillingCode><Name>Medacta Acetabular Screws</Name><Description>Titanium, cancellous screws</Description><Size>6.5 L 15-70mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>219907</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI048</BillingCode><Name>Amplitude Orthopaedic Bone Screw</Name><Description>Titanium cancellous bone screw</Description><Size>Diam 6.5mm, lengths 15 - 55 mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>242000</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ690</BillingCode><Name>EPORE Acetabular Augment System</Name><Description>Spongiosa Screw</Description><Size>6.5 x 15mm - 80mm and 8 x 70-100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>237075</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT026</BillingCode><PriorBillingCodes><PriorBillingCode>TZ030</PriorBillingCode></PriorBillingCodes><Name>Pantheon Flat Plate Compression Screw</Name><Description>Ti6Al4V Screw </Description><Size>Short, Medium, Long</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>237073</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR070</BillingCode><Name>Titanium Counter Sunk Screw</Name><Description>Titanium Counter Sunk Screw</Description><Size>Lengths 15-70mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT009</BillingCode><PriorBillingCodes><PriorBillingCode>TZ006</PriorBillingCode></PriorBillingCodes><Name>Adler Bone Screw</Name><Description>Bone Screw for Acetabular Cup</Description><Size>6.5 and 8.5mm Diameter.  15-65mm Length.</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>237073</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW603</BillingCode><Name>METS Trochanter Screw</Name><Description>Titanium</Description><Size>Short, Medium, Long</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>246513</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF034</BillingCode><Name>Bone Screw</Name><Description>Titanium, cancellous screw</Description><Size>15mm - 90mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI036</BillingCode><Name>Acetabular Cup</Name><Description>Trilogy Bone Screw - Titanium</Description><Size>15 - 60</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST545</BillingCode><Name>Osteonics hip prostheses </Name><Description>Cancellous bone screw, Titanium</Description><Size>6.5mm &amp; 5.5mm dia</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>242299</ARTG><ARTG>242312</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP944</BillingCode><Name>DePuy Hip Bone Screws</Name><Description>Titanium, cancellous screws</Description><Size>Size 3.5-6.5 diameter 5-120mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>150913</ARTG><ARTG>171784</ARTG><ARTG>99196</ARTG><ARTG>98086</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM137</BillingCode><Name>Polar Cup Acetabular Screws</Name><Description>Stainless Steel Cortical Screws</Description><Size>4.5mm by 40-60mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>181252</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI024</BillingCode><Name>Zimmer 'VerSys CRC Hip Systems</Name><Description>Modular Calcar Block</Description><Size>13/15 x 10-30mm &amp; 17/19 x 10-30mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1436</GroupID><ARTGs><ARTG>246833</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ754</BillingCode><Name>DePuy Femoral Cement Restrictor</Name><Description>UHMWPE cement restrictor</Description><Size>Size 0 to 10</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>138869</ARTG><ARTG>97695</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK505</BillingCode><Name>BioPrep Bone Preparation System</Name><Description>Femoral Preparation Kit with cement restrictor</Description><Size>18.5 - 25mm O.D.</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>139937</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP233</BillingCode><Name>Hardinge Cement Restrictor</Name><Description>Hardinge cement Restrictor (ea)</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>137671</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF036</BillingCode><Name>Cement Pug</Name><Description>UHMWPE Cement Plug</Description><Size>14 - 35mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>246579</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN263</BillingCode><Name>Buck</Name><Description>Cement Restrictor</Description><Size>13 - 35mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>140410</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO106</BillingCode><Name>LINK Intramedullary Plug</Name><Description>P/E Intramedullary Plug</Description><Size>12 to 20 mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>157547</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU183</BillingCode><Name>MectaPlug PE II</Name><Description>Cement restrictor</Description><Size>5 sizes  from Ø8 to Ø30</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>229714</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU111</BillingCode><Name>MectaPlug PE</Name><Description>Cement Restrictor</Description><Size>12 - 30 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>229714</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST582</BillingCode><Name>Osteonics hip prostheses </Name><Description>Cement restrictor Polyethylene</Description><Size>Universal and sizes 1-8</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>289666</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI356</BillingCode><Name>Medullary Plug, MS 30</Name><Description>Centring Plug, cement restrictor, hip - PE</Description><Size>2 to 7</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>100394</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH643</BillingCode><PriorBillingCodes><PriorBillingCode>OO102</PriorBillingCode></PriorBillingCodes><Name>IC Intramedullary Plug</Name><Description>Intramedullary Plug</Description><Size>9mm, 14mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>208322</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI226</BillingCode><Name>Zimmer Bone Plug</Name><Description>Allen Medullary Plug</Description><Size>8 - 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>115913</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW001</BillingCode><Name>Hardinge Cement Restrictor</Name><Description>PMMA</Description><Size>6,9 and 12 Leaf</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>289666</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA018</BillingCode><Name>Intramedullary Plug</Name><Description>Cement Restricter</Description><Size>Small to Extra Large</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>241997</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR041</BillingCode><Name>Canal Occluder</Name><Description>Cement plug, UHMWPE, multi-layered</Description><Size>08/10mm, 12/14mm, 16/18mm,20/22mm and universal.</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1437</GroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB245</BillingCode><Name>Distal centraliser</Name><Description>PMMA</Description><Size>7mm - 18mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>123313</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI131</BillingCode><Name>Mallory Head Hip System</Name><Description>Femoral Centraliser, UHMWPE</Description><Size>9-17mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>98097</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC150</BillingCode><Name>Proximal Centraliser PMMA</Name><Description>Proximal Centraliser PMMA</Description><Size>Left &amp; Right Size 0-3</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>186627</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN269</BillingCode><Name>CPCS</Name><Description>Polished Cemented Stem Distal Centraliser</Description><Size>8 - 18</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>230144</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN359</BillingCode><Name>Invis</Name><Description>Distal Centraliser PMMA</Description><Size>size 1-5, 7 - 21mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>230144</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST581</BillingCode><Name>Osteonics hip prostheses</Name><Description>Distal spacer  PMMA</Description><Size>8-15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>141275</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI374</BillingCode><Name>MS-30 Hip prosthesis </Name><Description>Centralizer for Cemented Stems </Description><Size>8 to 20</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>242597</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI013</BillingCode><Name>Zimmer distal centralisers CPT, VerSys, Natural and MS30</Name><Description> PMMA Centraliser  </Description><Size>Size 1</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI021</BillingCode><Name>Zimmer Hip Systems Femoral Stem</Name><Description>VerSys Distal Centraliser - PMMA</Description><Size>10 - 18</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU187</BillingCode><Name>Medacta Femoral Stem Proximal Centraliser</Name><Description>PMMA Proximal centraliser</Description><Size>Proximal Centraliser, various sizes</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>233996</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI092</BillingCode><Name>E2 PMMA Centraliser</Name><Description>PMMA distal Centraliser</Description><Size>20mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>260435</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK315</BillingCode><Name>Exeter Hip System</Name><Description>Exeter Distal Centraliser -PMMA</Description><Size>One Size Only</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>289666</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV039</BillingCode><Name>Cement Centraliser</Name><Description>Profemur XM Cement Centraliser</Description><Size>N/A</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>247578</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU002</BillingCode><Name>Medacta Femoral Stem Distal centraliser</Name><Description>PMMA</Description><Size>Distal centraliser, various sizes</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>233996</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF030</BillingCode><Name>PMMA Centraliser</Name><Description>PMMA centraliser used for cemented total hip arthroplasty</Description><Size>Size 10mm, 11mm, 12mm, 13mm, 14mm, 15mm, 17mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>246578</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ963</BillingCode><Name>DePuy Hip Systems</Name><Description>Distal femoral centralisers</Description><Size>8 to 20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1438</GroupID><ARTGs><ARTG>97695</ARTG><ARTG>137671</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI124</BillingCode><Name>ARCOS Modular Femoral Revision System</Name><Description>Trochanteric Claw, Titanium</Description><Size>Large, Small</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1439</GroupID><ARTGs><ARTG>145218</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI125</BillingCode><Name>ARCOS Modular Femoral Revision System</Name><Description>Trochanteric Connector (includes bolt and button)</Description><Size>Sizes 24-54mm Bolt  Size 25mm Button</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1440</GroupID><ARTGs><ARTG>145218</ARTG><ARTG>246835</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN295</BillingCode><Name>Reflection</Name><Description>Threaded hole cover (Reflection)</Description><Size>One size only</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>238632</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF141</BillingCode><Name>C2 Hole Eliminator</Name><Description>Titanium Screw Hole Plug</Description><Size>6.3 x 3.2mm, 11.3 x 4.2mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>246580</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY077</BillingCode><Name>Apex Hole eliminator </Name><Description>Hole eliminator screw Titanium</Description><Size>48 - 66 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>238812</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST551</BillingCode><Name>Osteonics Hip Prostheses</Name><Description>Dome hole plug titanium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>300154</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI622</BillingCode><Name>Continuum Acetabular System</Name><Description>Continuum Hole Plugs</Description><Size>One Size - Dome Hole Plug  One Size - Screw Hole Plug</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>243774</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ603</BillingCode><Name>REDAPT Hole Cover Kit</Name><Description>Sterile Kit (14 Hole Covers and 2 Inserters)</Description><Size>One size only</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1441</GroupID><ARTGs><ARTG>238632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST569</BillingCode><Name>Head Taper Insert</Name><Description>Neck extention, vitallium alloy</Description><Size>-4 TO +12mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1442</GroupID><ARTGs><ARTG>255353</ARTG></ARTGs><MinimumBenefit>266</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH037</BillingCode><Name>Biolox Delta Option Taper</Name><Description>Taper Sleeve, Titanium</Description><Size>-6mm, -3mm, Std, +3mm and +6mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1442</GroupID><ARTGs><ARTG>117715</ARTG></ARTGs><MinimumBenefit>266</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY403</BillingCode><Name>Cathcart Taper Insert</Name><Description>CoCr head taper insert for use with Unipolar Head (DY402)</Description><Size>-3 to +10mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1442</GroupID><ARTGs><ARTG>255314</ARTG></ARTGs><MinimumBenefit>266</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT008</BillingCode><PriorBillingCodes><PriorBillingCode>TZ017</PriorBillingCode></PriorBillingCodes><Name>Adler Revision Sleeve</Name><Description>Adler revision femoral head titanium sleeve</Description><Size>Short, Medium, Long, X-Long</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1442</GroupID><ARTGs><ARTG>296609</ARTG></ARTGs><MinimumBenefit>266</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN307</BillingCode><Name>Unipolar</Name><Description>Taper Sleeve Co Cr</Description><Size>12/14 and 14/16 tapers, +0,-3,+4,+8,+12mm.</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1442</GroupID><ARTGs><ARTG>229993</ARTG><ARTG>242995</ARTG></ARTGs><MinimumBenefit>266</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR300</BillingCode><PriorBillingCodes><PriorBillingCode>GO292</PriorBillingCode></PriorBillingCodes><Name>BioBall - Revision Neck Adaptor</Name><Description>Titanium, varying tapers &amp; lengths, for ceramic &amp; metal heads</Description><Size>Types: 12/14, 14/16, V40, PCA, ABG, 11/13, SROM, 10/12, 8/10  Sizes:  S, M, L, XL, 2XL, 3XL, 4XL, 5XL  Options: Standard, Offset</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1443</GroupID><ARTGs><ARTG>276306</ARTG></ARTGs><MinimumBenefit>436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK482</BillingCode><Name>Stryker Neck Taper Adaptor</Name><Description>Adaptor Sleeve for Stryker stems</Description><Size>Offset -2.5mm to +4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1443</GroupID><ARTGs><ARTG>236777</ARTG><ARTG>224747</ARTG></ARTGs><MinimumBenefit>436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI567</BillingCode><Name>Zimmer Hip System</Name><Description>VerSys Endo Adaptors</Description><Size>+7.0mm; +10.5mm; +14.0mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1443</GroupID><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC190</BillingCode><Name>BioBall - Revision Neck Adaptor</Name><Description>Titanium, varying tapers &amp; lengths, for ceramic &amp; metal heads</Description><Size>8/10 standard, 8/10 offset
10/12 standard, 10/12 offset
12/14 standard, 12/14 offset
14/16 standard,14/16 offset
V40 standard, V40 offset,
PCA standard, PCA offset
Type 1 standard 
11/13 standard, 11/13 offset
S - 5XL standard
M-5XL offset</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1443</GroupID><ARTGs><ARTG>227099</ARTG></ARTGs><MinimumBenefit>436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI902</BillingCode><Name>ZMR Compression Nut</Name><Description>Compression Nut</Description><Size>One Size</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1444</GroupID><ARTGs><ARTG>259942</ARTG></ARTGs><MinimumBenefit>172</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN292</BillingCode><Name>Reflection</Name><Description>Fixation peg Titanium Alloy</Description><Size>15mm, 25mm, 35mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1445</GroupID><ARTGs><ARTG>238633</ARTG></ARTGs><MinimumBenefit>159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW588</BillingCode><Name>Steinmann Pins</Name><Description>Titanium Steinmann Pins</Description><Size>Ø5mm x 300mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1445</GroupID><ARTGs><ARTG>246513</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ633</BillingCode><Name>PlasmaFit Closing Cap</Name><Description>Acetabulum prosthesis apical hole plug - A sterile, implantable cap screw intended to close the screw holes of an acetabulum cup.</Description><Size>ONE SIZE</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>413726</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN008</BillingCode><PriorBillingCodes><PriorBillingCode>RL005</PriorBillingCode></PriorBillingCodes><Name>Acetabulum prosthesis apical hole plug</Name><Description>This is a screw hole plug intended to close the screw holes of a two-piece acetabular prosthesis.  It is screwed into place after implantation of the acetabular component at the discretion of the surgeon.</Description><Size>One size M10 screw hole plug</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>237111</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI130</BillingCode><Name>Bio-Plug Cement Restrictor</Name><Description>Canal Plug, UHMWPE</Description><Size>7-20mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>98097</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU017</BillingCode><Name>Medacta Acetabular Plug</Name><Description>Titanium Plug</Description><Size>no sizes</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>237072</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI122</BillingCode><Name>Amplitude C2 Acetabular Cup Base Hole Cover</Name><Description>Titanium Base Hole Cover</Description><Size>One size only</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>368571</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB277</BillingCode><Name>Excia Hip System</Name><Description>Cement plug</Description><Size>8mm-18mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1446</GroupID><ARTGs><ARTG>123313</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC151</BillingCode><Name>Cement Plug UHMWPE</Name><Description>UHMWPE Cement Restrictor / Plug</Description><Size>Size 1 - 3</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1447</GroupID><ARTGs><ARTG>186627</ARTG></ARTGs><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC149</BillingCode><Name>Lima Plug and hood </Name><Description>UHMWPE Cement Plug with distal femoral stem hood</Description><Size>10mm - 20mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1447</GroupID><ARTGs><ARTG>186627</ARTG></ARTGs><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI140</BillingCode><Name>Mallory Head Hip System</Name><Description>Acetabular Shell, Ringloc.  Replacement Ring, Titanium alloy</Description><Size>Size 1</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1449</GroupID><ARTGs><ARTG>98098</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP250</BillingCode><Name>Duraloc Dynamic Locking Ring</Name><Description>Titanium locking Ring for Duraloc insert, seperately listed, only for revision</Description><Size>Size 36-76mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1449</GroupID><ARTGs><ARTG>138292</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN701</BillingCode><Name>Reflection</Name><Description>Constrained acetabular liner - adaptor ring</Description><Size>42 - 76mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1449</GroupID><ARTGs><ARTG>218153</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA090</BillingCode><Name>Arcos Modular Femoral Revision System</Name><Description>Distal Interlocking Stem Screws</Description><Size>25-60mm length</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>145406</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI399</BillingCode><Name>Cancellous Screws</Name><Description>Screws- Cancell - Ti alloy</Description><Size>6.5/15 to 6.5/70mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW587</BillingCode><Name>Bone Screws</Name><Description>Titanium Bone Screws</Description><Size>Ø4.5mm 50mm &amp; 80mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>246513</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG013</BillingCode><PriorBillingCodes><PriorBillingCode>CR221</PriorBillingCode></PriorBillingCodes><Name>SMR Locking Screw</Name><Description>Locking Screw for Proximal Body to Stem</Description><Size>40 to 70mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>246519</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH629</BillingCode><PriorBillingCodes><PriorBillingCode>OO043</PriorBillingCode></PriorBillingCodes><Name>IC bone screw</Name><Description>Cancellous bone screw</Description><Size>6.5mm x 15/20/25/30/35/40/45/50/55/60/65/70/75/80/85mm length.</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>237075</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO031</BillingCode><Name>LINK Endo-Model Partial Pelvis Replacement</Name><Description>Fixation Screws, for Obturator Foramen, including screw lock</Description><Size>20mm - 35mm; four (4) sizes</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>140660</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN284</BillingCode><Name>Screws</Name><Description>Cancellous, Peripheral, Spherical Head, REDAPT Locking</Description><Size>15mm - 70mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1450</GroupID><ARTGs><ARTG>230143</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF013</BillingCode><Name>Pharo</Name><Description>Intermediate Sleeve</Description><Size>-5 to +10 (six sizes)</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI117</BillingCode><Name>Ceramic Head Revision Sleeve</Name><Description>Titanium Sleeve</Description><Size>10/12 and 12/14 Taper  Short, Medium, Long and Extra-Long</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>281067</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU116</BillingCode><Name>Mectacer Biolox Option Sleeves</Name><Description>Biolox Option Titanium Sleeve</Description><Size>S, M, L, XL</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>206685</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM166</BillingCode><Name>Biolox Option Sleeves</Name><Description>Biolox Option Titianium Sleeves</Description><Size>S to XL - 12/14</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>430154</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF024</BillingCode><Name>Taper Sleeve</Name><Description>Taper Sleeve for femoral head</Description><Size>taper sleeve: 12/14 -3.5mm, 12/14 +0mm, 12/14 +3.5mm, 12/14 +7mm, 12/14 +10mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>298300</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST821</BillingCode><Name>Titanium Adapter Sleeve</Name><Description>For use with new ceramic heads</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>288040</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC203</BillingCode><Name>SpaceFlex Hip</Name><Description>Modular Hip Spacer Mold</Description><Size>10mm  13mm  15mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1452</GroupID><ARTGs><ARTG>329464</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK031</BillingCode><Name>Spacer-G Flat Stem</Name><Description>Temporary implantable device for the treatment of infected total hip replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin.</Description><Size>46 mm head - 96mm flat stem  54 mm head - 94 mm flat stem  60 mm head - 96mm flat stem  46 mm head - 211mm flat stem  54 mm head - 209mm flat stem  60 mm head - 211mm flat stem</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1452</GroupID><ARTGs><ARTG>387273</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK004</BillingCode><PriorBillingCodes><PriorBillingCode>ER296</PriorBillingCode></PriorBillingCodes><Name>Spacer-G</Name><Description>Temporary implantable device for the treatment of infected total hip replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin</Description><Size>Long Stems, Head size 46mm, 54mm, 60mm</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1452</GroupID><ARTGs><ARTG>155142</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK003</BillingCode><PriorBillingCodes><PriorBillingCode>ER295</PriorBillingCode></PriorBillingCodes><Name>Spacer-G</Name><Description>Temporary implantable device for the treatment of infected total hip replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin</Description><Size>Short Stems,  Head size 46mm, 54mm, 60mm</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1452</GroupID><ARTGs><ARTG>155142</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI953</BillingCode><Name>Stage One Select Hip Mould</Name><Description>Modular Spacer Mould, Stainless Steel, Silicon.</Description><Size>Stem 9 - 17mm  Head 43 - 64 Head</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1452</GroupID><ARTGs><ARTG>232624</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT027</BillingCode><PriorBillingCodes><PriorBillingCode>TZ031</PriorBillingCode></PriorBillingCodes><Name>Cortical Plate </Name><Description>Titanium plate either rough with HA or porous Ti-Por used as a flange for femoral or tibial prosthesis</Description><Size>30 to 70mm</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1454</GroupID><ARTGs><ARTG>340794</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT024</BillingCode><PriorBillingCodes><PriorBillingCode>TZ028</PriorBillingCode></PriorBillingCodes><Name>Pantheon Flat Plate with Spikes</Name><Description>Ti6Ai4V Plate with spikes on inner surface, screw and cable compatibility for Trochanter</Description><Size>L50, L70</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1454</GroupID><ARTGs><ARTG>340794</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW602</BillingCode><Name>METS Trochanter plate</Name><Description>Titanium with plasma spray of titanium and HA</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1454</GroupID><ARTGs><ARTG>246512</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ662</BillingCode><Name>EPORE Acetabular Augment System</Name><Description>Washer</Description><Size>8mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1456</GroupID><ARTGs><ARTG>389721</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI861</BillingCode><Name>Segmental Trabeculer Metal Proximal Femoral Component - Washer</Name><Description>4mm Flat Washer
&amp;mm Flat Washer
4mm Curved Washer</Description><Size>4mm and 7mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1456</GroupID><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW642</BillingCode><Name>METS Trochanter Reattachment Wire</Name><Description>CoCr</Description><Size>0.6m</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1457</GroupID><ARTGs><ARTG>246517</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP224</BillingCode><Name>Charnley &amp; Wroblewski Trochanteric Spring Wire</Name><Description>Stainless steel wire for trochanteric attachment</Description><Size>0.5-3.00mm, 18 to 20g</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1458</GroupID><ARTGs><ARTG>99178</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC023</BillingCode><Name>DELTA Coupling / Spacer / Liner</Name><Description>DELTA Coupling / Spacer / Adaptor / Liner</Description><Size>Size Small to Extra Large  Angle (In degrees) 0 to 20  Offset +5</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1806</GroupID><ARTGs><ARTG>210771</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH695</BillingCode><PriorBillingCodes><PriorBillingCode>OO147</PriorBillingCode></PriorBillingCodes><Name>MUTARS LUMiC Stem</Name><Description>Stems for use with a modular partial pelvic replacement and acetabula reconstruction device in case of large bone defects</Description><Size>10mm x 65, 75, 85mm, 8mm x 65, 75, 85mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1820</GroupID><ARTGs><ARTG>236007</ARTG><ARTG>236018</ARTG></ARTGs><MinimumBenefit>5833</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU060</BillingCode><Name>Unicompartmental femoral component</Name><Description>cemented unicompartmental femoral component</Description><Size>1 to 4</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>223021</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ781</BillingCode><Name>Sigma HP Unicompartmental Knee - Unicondylar femoral component</Name><Description>Unicompartmental femoral component, cemented, CoCr</Description><Size>Size 1-6, LM/RL &amp; RM/LL</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>223246</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT012</BillingCode><PriorBillingCodes><PriorBillingCode>TZ023</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Cemented Femoral Component</Name><Description>Genus Uni - unicompartmental Knee Femoral Component - Cemented</Description><Size>RM/LL and LM/RL Sizes 1-6</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>287896</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR083</BillingCode><Name>Triathlon PKR - Cemented Femoral Component</Name><Description>Triathlon PKR - Uni Femoral Component, CoCR, Cemented</Description><Size>12 -Femurs in total: 1 through to 6, Left Media/Right lateral + 1 through to 6, Right Media/Left Lateral</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>224840</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA075</BillingCode><Name>Persona Partial Knee System</Name><Description>Femoral component</Description><Size>Sizes 1-8</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>336793</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK585</BillingCode><Name>Restoris MCK Knee - Femeral Component</Name><Description>Femeral Component</Description><Size>LM/RL sizes 1 to 8  RM/LL sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>242176</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO059</BillingCode><Name>LINK Endo-Model SLED Uni femoral componet</Name><Description>Uni Femoral Component, cemented, CoCr</Description><Size>Short, medium-short, medium &amp; large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>271932</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI031</BillingCode><Name>Oxford Meniscal Knee System Uni Femoral Component </Name><Description>Uni Femoral Component, CoCr, Cemented (Phase III)</Description><Size>Extra Small, Small, Medium, Large, Extra Large.</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>206918</ARTG><ARTG>206172</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA451</BillingCode><Name>BalanSys UNI femoral component </Name><Description>Uni Femoral component, cemented CoCr</Description><Size>A, B,C,D,E</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>212827</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM156</BillingCode><Name>Journey Uni Femur-Oxinium</Name><Description>Uni Femur - Oxinium - It is UniCondylar Femur</Description><Size>Size 1 to Size 7 Please refer to the pocket guide</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1354</GroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>206258</ARTG></ARTGs><MinimumBenefit>2464</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN869</BillingCode><Name>Genesis II Knee System Tibial Baseplate</Name><Description>Tibial Baseplate, all poly, cemented</Description><Size>Left / Right 1 - 8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1356</GroupID><ARTGs><ARTG>242853</ARTG><ARTG>242033</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW663</BillingCode><Name>Triathlon All Polyethylene Tibial Component - CS</Name><Description>All poly monoblock tibial baseplate.</Description><Size>1-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1356</GroupID><ARTGs><ARTG>220722</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI127</BillingCode><Name>NexGen Knee Tibial Baseplate</Name><Description>Baseplate All Poly, cemented, UHMWPE</Description><Size>1 - 10</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1356</GroupID><ARTGs><ARTG>222316</ARTG><ARTG>226648</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN857</BillingCode><Name>Genesis II Knee System Tibial Baseplate</Name><Description>Tibial Baseplate, cemented, Titanium, grit blasted</Description><Size>1 - 9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>207027</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU100</BillingCode><Name>GMK Hinge fixed tibial tray</Name><Description>Tibial Component cemented CoCr</Description><Size>1 to 6 Left and Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>211409</ARTG></ARTGs><MinimumBenefit>3619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW141</BillingCode><Name>MRH (Modular Rotating Hinge) Tibial Baseplate</Name><Description>MRH Tibial baseplate, CoCr (Vitallium), fixed insert with central hole for hinged insertion, w/attachable stem</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>224539</ARTG></ARTGs><MinimumBenefit>3619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO158</BillingCode><Name>Link Modular Knee ProsthesisSystem</Name><Description>Tibial Components</Description><Size>Extra Small - Extra Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Hinged</Suffix><ARTGs><ARTG>225784</ARTG><ARTG>226252</ARTG><ARTG>225001</ARTG><ARTG>221853</ARTG></ARTGs><MinimumBenefit>3619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF142</BillingCode><Name>Active Knee Tibial Baseplate</Name><Description>Tibial baseplate, Cemented, CoCr</Description><Size>Sizes 1-5 </Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>276957</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL008</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – iTotal G2+ Tibial Tray</Name><Description>Tibial baseplate, cemented, CoCrMo</Description><Size>Left Knee, Right Knee, patient-specific</Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>377131</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ957</BillingCode><Name>Attune Knee System</Name><Description>Fixed Bearing Cemented Tibial Tray</Description><Size>1-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>220503</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV002</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Tibial component, CoCr, cemented</Description><Size>1-8
Standard, Plus
Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>234319</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH417</BillingCode><Name>Trekking Knee System - TCK Tibial Component Revision</Name><Description>Revision Tibial Component</Description><Size>Size: T1-T5
Width (mm) Depth: 42 - 57
Width (mm) 64 - 86</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>287508</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU138</BillingCode><Name>GMK Revision Cemented fixed Tibia Tray</Name><Description>Asymmetric polished cemented fixed tibial component</Description><Size>1 to 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>210966</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU114</BillingCode><Name>GMK Cemented FIXED Tibial Tray -TiNbN coated</Name><Description>Asymmetric polished cemented fixed tibial component, with TiNbN surface coating</Description><Size>1 to 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>254614</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN824</BillingCode><Name>Legion Knee System Tibial Baseplate</Name><Description>Tibial baseplate, cemented, Titanium, for fixed insert,</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>208089</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH425</BillingCode><Name>Trekking Knee System, Tibial Component</Name><Description>Tibial Component Cemented</Description><Size>Size: T1 - T5
Width (mm): Depth 42-57
Width (mm): 64 - 86</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>287520</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN207</BillingCode><Name>Attune Knee System</Name><Description>Revision fixed bearing tibial tray.</Description><Size>1 to 10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>289595</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY467</BillingCode><Name>PFC Sigma Knee System tibial baseplate</Name><Description>Tibial baseplate, cemented, keeled, Titanium, standard and offset keels with capacity for augment and stem attachment </Description><Size>Size 1.5 - 5</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>221774</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA509</BillingCode><Name>Balansys Revision Knee, Tibial Plateau</Name><Description>Revision Tibial Baseplate, modular</Description><Size>64 to 85</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>209537</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA093</BillingCode><Name>Persona Revision Tibia Fixed Non-Porous</Name><Description>Fixed Tibial component made of Tivanium® for cemented use.</Description><Size>A, B, C, D, E, F, G, H, J in Left and Right configurations</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>374551</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR289</BillingCode><PriorBillingCodes><PriorBillingCode>GO256</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee System</Name><Description>Modular and revision tibial baseplate</Description><Size>sizes 1-6</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>311061</ARTG><ARTG>398790</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK327</BillingCode><Name>Triathlon Knee System Tibial Baseplate</Name><Description>Tibial baseplate, cemented, CoCr</Description><Size>Sizes 0 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>217832</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI811</BillingCode><Name>Vanguard 360 Tibial Tray</Name><Description>Tibial baseplate, Chrome cobalt alloy</Description><Size>59-91mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>275614</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST034</BillingCode><Name>Scorpio Knee System Tibial Baseplate </Name><Description>Tibial baseplate, cemented, ability to attach stems, CoCr  </Description><Size>3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>211459</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI126</BillingCode><Name>NexGen Knee Tibial Baseplate </Name><Description>Stemmed AP wedged tibial baseplate, cemented, for fixed insert, titanium, PMMA coated, with capacity for augment and stem attachment</Description><Size>1 - 10</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>217359</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH612</BillingCode><PriorBillingCodes><PriorBillingCode>OO020</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System</Name><Description>Revision base plate, cemented, for use with augments and straight or offset stems</Description><Size>Left and Right, Sizes 2-6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>265611</ARTG></ARTGs><ChangeExplanation>Change to Group benefit</ChangeExplanation><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB391</BillingCode><Name>AS Columbus Revision Tibial Component Cemented</Name><Description>Revision Tibial Component AS (Advanced Surface)</Description><Size>T0+ - T5</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>312586</ARTG></ARTGs><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD019</BillingCode><Name>3D Knee System Tibial Baseplate </Name><Description>Tibial Baseplate, cemented, CoCr</Description><Size>Size 1 to 12</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>161909</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU137</BillingCode><Name>GMK Cemented fixed Tibia Tray</Name><Description>Asymmetric polished cemented fixed tibial component</Description><Size>1 to 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>210966</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB400</BillingCode><Name>Columbus AS CR PS Tibial Plateau</Name><Description>Tibial baseplate, cemented, for fixed insert</Description><Size>T0 - T5</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>279473</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE040</BillingCode><Name>Active Knee Tibial Baseplate</Name><Description>Tibial baseplate, Cemented, CoCr</Description><Size>Sizes 1-5</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>276957</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI112</BillingCode><Name>Anatomic Cemented Tibial Baseplate</Name><Description>Cemented fixed bearing tibial baseplate with the ability to attach stem extensions</Description><Size>Size 0 to 8</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>222531</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV054</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Tibial Base Implant</Description><Size>Sizes 1 - 8  Left, Right  Standard, Plus</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>317407</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ006</BillingCode><Name>Origin PS Fixed Tibia Monobloc Cemented</Name><Description>Patient-Matched cemented tibial component</Description><Size>Patient Specific - Left and Right Knee</Size><SupplierCode>WQ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>382629</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN848</BillingCode><Name>Journey Knee System Tibial Baseplate</Name><Description>Tibial baseplate, cemented, Titanium, for fixed insert</Description><Size>Sizes 1-8, Left and Right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>370844</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST066</BillingCode><Name>Scorpio Knee System Tibial Baseplate </Name><Description>Tibial baseplate, cemented, CoCr </Description><Size>3, 5, 7, 9, 11, 13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>217949</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI935</BillingCode><Name>Persona Knee System</Name><Description>Persona Tibial Tray, Stemmed</Description><Size>9 sizes, left and right</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>261273</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ009</BillingCode><Name>Saiph Knee System Tibial Component Cemented</Name><Description>CoCr Tibial Component, Cemented</Description><Size>A - F, Standard and Long Stem</Size><SupplierCode>MJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>192371</ARTG><ARTG>117769</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA518</BillingCode><Name>Balansys Tibial Baseplate</Name><Description>Tibial Baseplate cemented, CoCr, TiNbN coated</Description><Size>59mm to 85mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>211083</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI182</BillingCode><Name>Biomet Universal Tibial Baseplate </Name><Description>Tibial baseplate, Cemented, one piece, Ti or CoCr</Description><Size>59-91mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>98451</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR286</BillingCode><PriorBillingCodes><PriorBillingCode>GO194</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Tibial Base Plate - Cemented</Name><Description>Tibial Baseplate, Cemented, Non-Porous, Size 1 - 7 Left &amp; Right</Description><Size>Size 1 Left &amp; Right, size 2 Left &amp; Right, size 3 Left &amp; Right, size 4 Left &amp; Right, size 5 Left &amp; Right, size 6 Left &amp; Right, size 7 Left &amp; Right.</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>278528</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA515</BillingCode><Name>Balansys Tibial Baseplate</Name><Description>Tibial Baseplate cemented, CoCr</Description><Size>59mm to 85mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>211082</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA013</BillingCode><Name>Optetrak Logic Total Knee System, Tibial Baseplate</Name><Description>Tibial Baseplate, titanium, fixed insert, cemented</Description><Size>Size 0 - 6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>285441</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR251</BillingCode><Name>Unity Knee – Tibial Tray</Name><Description>Tibial Tray Cemented</Description><Size>Sizes 1 – 9</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>223558</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB204</BillingCode><Name>Columbus Total Knee System (TKS) Tibial Baseplate </Name><Description>Tibial baseplate, cemented, CoCr for fixed insert</Description><Size>T0 to T5    T0+ to T4+</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>298271</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB396</BillingCode><Name>Columbus Tibial Baseplate</Name><Description>Tibial baseplate CRA/PSA, cemented, for fixed insert</Description><Size>T0+ - T4+ and T0 - T5</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>298272</ARTG><ARTG>298186</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU030</BillingCode><Name>Evolis Knee System Tibial baseplate  </Name><Description>Tibial baseplate, cemented, titanium for fixed insert </Description><Size>1 - 6</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>204203</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA020</BillingCode><Name>Optetrak Logic Tibial Tray</Name><Description>Tibial Baseplate, titanium, fixed insert, cemented, fit and trapezoid. The tibial tray accepts augments and stem extensions with offset couplers (if needed).</Description><Size>0F/0T - 6F/6T</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>285441</ARTG><ARTG>285505</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI867</BillingCode><Name>NexGen Stemmed Tibial Component - cemented</Name><Description>Stemmed tibial baseplate, cemented,for fixed insert, titanium PMMA coated, with capacity for augment and stem attachment</Description><Size>1-10</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>227159</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR034</BillingCode><Name>Triathlon TS Knee System Tibial Baseplate </Name><Description>Tibial baseplate, stemmed revision, cemented, CoCr</Description><Size>1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>218001</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH700</BillingCode><PriorBillingCodes><PriorBillingCode>OO157</PriorBillingCode></PriorBillingCodes><Name>MUTARS GenuX MK Tibial Component, cemented</Name><Description>MUTARS GenuX MK Tibial Component, cemented</Description><Size>2-6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>238837</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB388</BillingCode><Name>AS EnduRo Tibial Component Cemented</Name><Description>EnduRo Rotating Hinge Knee Tibial Component AS (Advanced Surface)</Description><Size>1-3</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>312501</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB354</BillingCode><Name>EnduRo Rotating Hinge Knee Tibial Component</Name><Description>The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to  treat complex revision knee arthoplasty as well as unstable knees</Description><Size>1-3</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>303700</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ804</BillingCode><Name>MBT Revision Thick Tibial Tray</Name><Description>Tibial Tray</Description><Size>Size range 2 to 5.  Tray Thickness of 25mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Extra Thick</Suffix><ARTGs><ARTG>230630</ARTG></ARTGs><MinimumBenefit>6497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI308</BillingCode><Name>Nexgen Rotating Hinge Tibial Baseplate </Name><Description>Stemmed Tibial Baseplate with polished tibial insert surface, cemented, PMMA coated for Nexgen rotating hinged femoral component </Description><Size>1-6</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>220389</ARTG><ARTG>226691</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF136</BillingCode><Name>SHiVA Modular Knee Prosthesis - Tibial Tray</Name><Description>Tibial Tray</Description><Size>Size 2,3 and 4</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI068</BillingCode><Name>Score Knee System Tibial Baseplate </Name><Description>Tibial Baseplate, Cemented, CoCr, polished insert surface for mobile insert </Description><Size>9 Sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>210578</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO171</BillingCode><Name>Link Endo Model Rotational and Hinge Knee Prostheses</Name><Description>Tibial Components</Description><Size>Extra small - extra large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>157545</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH422</BillingCode><Name>Trekking Knee System, Tibial Component MB Cemented</Name><Description>Tibial Component MB Cemented</Description><Size>Size: T1 - T5
Width (mm): 64 - 86
Width (mm): Depth 42 - 57</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>287519</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU115</BillingCode><Name>GMK Mobile Cemented Tibial Tray  - TiNbN coated</Name><Description>Asymmetric mobile cemented tibial component, with TiNbN surface coating.</Description><Size>1 to 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>254615</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA312</BillingCode><Name>balanSys Tibial Baseplate</Name><Description>Tibial Baseplate for Mobile Bearing Insert, cemented, CoCr</Description><Size>59mm to 85mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>211085</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA015</BillingCode><Name>Optetrak Logic Total Knee System, RBK Tibial Baseplate</Name><Description>Tibial Baseplate, titanium with polished insert surface, cemented, for a mobile insert</Description><Size>Size 1F/1T - 5F/5T</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>285906</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH687</BillingCode><PriorBillingCodes><PriorBillingCode>OO179</PriorBillingCode></PriorBillingCodes><Name>ACS Mobile Tibial Component Cemented</Name><Description>Tibia Base Plate Cemented for use with a Mobile Bearing insert - TiN Coated</Description><Size>2-7</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>265672</ARTG><ARTG>265622</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB201</BillingCode><Name>e.MOTION Total Knee</Name><Description>Tibial baseplate, cemented, CoCr with polished surface for mobile insert</Description><Size>T1-T8, left and right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>296715</ARTG><ARTG>293935</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT014</BillingCode><PriorBillingCodes><PriorBillingCode>TZ011</PriorBillingCode></PriorBillingCodes><Name>Genus Knee System - Genus Cemented Tibial Tray</Name><Description>Cemented Mobile Bearing Tibial Tray</Description><Size>1-7</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>232058</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ958</BillingCode><Name>Attune Knee System</Name><Description>Mobile Bearing Cemented Tibial Tray</Description><Size>1-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>226651</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU077</BillingCode><Name>GMK Mobile Cemented Tibia Tray</Name><Description>Asymmetric mobile cemented tibial component</Description><Size>1 to 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><ARTGs><ARTG>210965</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY151</BillingCode><Name>MBT Knee System Revision Tibial base Plate </Name><Description>Tibial baseplate, cemented, CoCr, for rotating platform, also usable with specific hinged insert </Description><Size>Sizes: 1-6 ; Tray Thickness: 4.8</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>230630</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN270</BillingCode><Name>Attune Knee System</Name><Description>Revision mobile bearing tibial tray, also usable with specific hinged insert </Description><Size>2-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>298539</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM160</BillingCode><Name>Legion Hinge Tibial Baseplate</Name><Description>A tibial baseplate used for the Legion Hinge system.</Description><Size>Size 2 to 7 Left, Right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>232074</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH611</BillingCode><PriorBillingCodes><PriorBillingCode>OO019</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - ACS SC Revision Tibial component, Cemented</Name><Description>Revision MB base plate for use with augments and straight or offset stems</Description><Size>Sizes 2,3,4,5,6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision</Suffix><ARTGs><ARTG>265619</ARTG></ARTGs><MinimumBenefit>3402</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ634</BillingCode><Name>LCS Complete Knee System - MBT Revision Thick Tray</Name><Description>Thick Tibial Tray</Description><Size>1 to 6</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Extra Thick</Suffix><ARTGs><ARTG>230630</ARTG></ARTGs><MinimumBenefit>6497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI989</BillingCode><Name>Persona Knee System</Name><Description>Persona TM tibial base plate</Description><Size>A-J, left and right</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><ARTGs><ARTG>222393</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW656</BillingCode><Name>Triathlon Tritanium Baseplate</Name><Description>Triathlon Tritanium BP</Description><Size>0-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><ARTGs><ARTG>281719</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD020</BillingCode><Name>3D Knee System Tibial Baseplate </Name><Description>Tibial Baseplate, uncemented,  beaded, CoCr and Titanium</Description><Size>Size 1 to 12</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><ARTGs><ARTG>161909</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU040</BillingCode><Name>Evolis Knee System Tibial baseplate  </Name><Description>Tibial baseplate, uncemented, titanium with titanium plasma spray, for fixed insert </Description><Size>1 -6</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><ARTGs><ARTG>205559</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH613</BillingCode><PriorBillingCodes><PriorBillingCode>OO021</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System</Name><Description>Revision tibial component, cementless porous coated, for use with augments and straight or offset stems.</Description><Size>Left and Right, Sizes 2- 6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><ARTGs><ARTG>265612</ARTG></ARTGs><ChangeExplanation>Change to Group benefit</ChangeExplanation><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN274</BillingCode><Name>Attune Knee System</Name><Description>Rotating Platform Cementless Components</Description><Size>Size 1-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><ARTGs><ARTG>290324</ARTG></ARTGs><MinimumBenefit>2493</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY377</BillingCode><Name>MBT knee system tibial baseplate </Name><Description>Tibial baseplate, uncemented, Titanium, TiN, beaded (Porocoat) for rotating platform, (non keeled only) </Description><Size>Sizes 1 - 7</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><ARTGs><ARTG>217367</ARTG></ARTGs><MinimumBenefit>2493</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH686</BillingCode><PriorBillingCodes><PriorBillingCode>OO178</PriorBillingCode></PriorBillingCodes><Name>ACS Knee Porous Coated Tibia Component Cementless</Name><Description>Tibial base plate porous coated for use with mobile bearing insert - TiN Coated</Description><Size>2-7</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><ARTGs><ARTG>265623</ARTG><ARTG>265617</ARTG></ARTGs><MinimumBenefit>2493</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT016</BillingCode><PriorBillingCodes><PriorBillingCode>TZ021</PriorBillingCode></PriorBillingCodes><Name>Genus Uni All Poly tibial Component</Name><Description>Genus Uni All Poly cemented Tibial Component</Description><Size>Sizes 1-6, RM/LL and LM/RL Heights 9-14mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1363</GroupID><ARTGs><ARTG>287901</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN337</BillingCode><Name>Genesis Uni Tibial Baseplate</Name><Description>Uni Tibial baseplate, all poly, cemented</Description><Size>size 1-6</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1363</GroupID><ARTGs><ARTG>208340</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU070</BillingCode><Name>GMK Unicompartmental Full - PE Tibia Component</Name><Description>cemented unicompartmental all polyethylene fixed component</Description><Size>1 to 5, left and right, 8/9/10/11/12/14mm  thicknesses</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1363</GroupID><ARTGs><ARTG>211419</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU065</BillingCode><Name>GMK Unicompartmental fixed tibial baseplate</Name><Description>cemented unicompartmental fixed tibial component with peg and fixation keel</Description><Size>1 to 5, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>223022</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT017</BillingCode><PriorBillingCodes><PriorBillingCode>TZ024</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Tibial Tray Cemented</Name><Description>Genus Uni Tibial Component Cemented is part of the Genus Uni Unicompartmental system.</Description><Size>Sizes 1-6 RM/LL and LM/RL</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>287898</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL070</BillingCode><Name>Journey Knee System Tibial Uni Baseplate</Name><Description>Uni Tibial Baseplate, Titanium, cemented, for fixed insert</Description><Size>1-6</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>207003</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ780</BillingCode><Name>Sigma HP Unicompartmental Knee - Fixed bearing tibial tray</Name><Description>Unicompartmental tibial base plate, cemented, CoCr for fixed bearing insert</Description><Size>Size 1-6, LM/RL &amp; RM/LL</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>224039</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK497</BillingCode><Name>Triathlon PKR - Cemented Tibial component</Name><Description>Uni tibial baseplate, cemented, CoCR</Description><Size>Size 1 to 6</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>224797</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK586</BillingCode><Name>Restoris MCK Knee - Tibial Baseplate</Name><Description>Tibial Baseplate</Description><Size>LM/RL and RM/LL, sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>242174</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA078</BillingCode><Name>Persona Partial Knee System</Name><Description>Tibial baseplate</Description><Size>C-J</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>336795</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA452</BillingCode><Name>BalanSys UNI tibial baseplate </Name><Description>Uni tibial baseplate for fixed bearing insert, cemented, CoCr</Description><Size>1,2,3,4,5</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>212824</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI107</BillingCode><Name>Unicompartmental Tibial Plate</Name><Description>Uni 'Tibial baseplate, cemented, Titanium </Description><Size>1 to 6</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1364</GroupID><ARTGs><ARTG>220169</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO060</BillingCode><Name>LINK Endo-Model SLED Uni Tibial Tray </Name><Description>Uni tibial tray including UHMWPE insert, cemented, CoCr tray</Description><Size>7mm-13mm in 45, 50, 55 diameter</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1365</GroupID><ARTGs><ARTG>140653</ARTG></ARTGs><MinimumBenefit>1744</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA083</BillingCode><Name>Oxford Meniscal Knee System Uni Tibial Baseplate   </Name><Description>tibial baseplate</Description><Size>AA-F</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1366</GroupID><ARTGs><ARTG>205937</ARTG><ARTG>206061</ARTG><ARTG>206976</ARTG></ARTGs><MinimumBenefit>1527</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR076</BillingCode><Name>Triathlon X3 CR Tibial Insert</Name><Description>Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty.</Description><Size>Sizes 0-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>216480</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST608</BillingCode><Name>Scorpio Knee System Tibial Insert</Name><Description>Minimally stabilised tibial insert, UHMWPE (N2VAC)</Description><Size>Size: 3-11  Thickness: 8-24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211471</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN320</BillingCode><Name>Genesis II Knee System Tibial Insert</Name><Description>Tibial Insert for mobile insert, UHMWPE</Description><Size>Left &amp; Right, Size 1-8, 9-15mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>242032</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP026</BillingCode><Name>LCS Complete Knee System rotating platform tibial Insert </Name><Description>Tibial insert, for rotating platform, UHMWPE </Description><Size>Sizes small to large+</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>217376</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP166</BillingCode><Name>PFC Sigma Knee System  tibial insert </Name><Description>Tibial Insert, rotating platform UHMWPE</Description><Size>Sizes  2 - 6.  10-17.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>226935</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL011</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – Tibial Insert iPoly G2+</Name><Description>UHMWPE polyethylene (iPoly) minimally stabilised tibial insert.</Description><Size>Shape - Medial and Lateral; Thickness (Medial) - 6mm-16mm, patient-specific; Size (Lateral) - A-K, patient-specific</Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>377134</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ687</BillingCode><Name>Unity Knee CS Tibial Insert</Name><Description>Unity Knee - Condylar Stabilized tibial insert, UHMWPE</Description><Size>Size: 1- 9 Thickness: 9 - 16mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>460706</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK431</BillingCode><Name>Triathlon Knee System CS Lipped Insert</Name><Description>Minimally stabilised, CS Lipped tibial insert deep dish, UHMWPE (N2VAC) </Description><Size>Sizes 1-8 _small - large) size increments, 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>128028</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL002</BillingCode><Name>Genesis II Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, fixed, without peg</Description><Size>1-8; 9-25mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>207045</ARTG><ARTG>207346</ARTG><ARTG>207043</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL003</BillingCode><Name>Profix Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, Fixed</Description><Size>Left / Right 1 - 6</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>224641</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT022</BillingCode><PriorBillingCodes><PriorBillingCode>TZ001</PriorBillingCode></PriorBillingCodes><Name>Genus Knee System - Genus PE Tibial Insert</Name><Description>Genus PE Insert</Description><Size>1-7 in thickness; 10mm, 12mm, 14mm, 17mm, 20mm, 24mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>232063</ARTG><ARTG>232064</ARTG><ARTG>232062</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF143</BillingCode><Name>Active Knee Tibial Insert</Name><Description>Tibial Insert, UHMWPE</Description><Size>Sizes 1 - 5 Thickness 6 - 17.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>276964</ARTG><ARTG>276960</ARTG><ARTG>276961</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW662</BillingCode><Name>Scorpio FLEX CR insert</Name><Description>CR Knee poly insert for Scorpio CR minor revisions</Description><Size>3-11 in thicknesses 8, 10, 12, 15, 18, 21 &amp; 24</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>293035</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST032</BillingCode><Name>Scorpio Knee System Tibial Insert</Name><Description>Minimally stabilised, mobile bearing tibial insert, UHMWPE (N2VAC)</Description><Size>8-24mm for all tibia sizes</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>128031</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ955</BillingCode><Name>Attune Knee System</Name><Description>Cruciate Retaining Insert</Description><Size>1-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>220506</ARTG><ARTG>226662</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV004</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Minimally stabilised, fixed, tibial insert, UHMWPE</Description><Size>1-8
Standard, Plus
Left, Right
10-24mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>234318</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV020</BillingCode><Name>Advance Medial Pivot Knee System</Name><Description>Minimally stabilised, fixed, tibial insert, UHMWPE</Description><Size>0-6  Left, Right  10-25mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>278297</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH548</BillingCode><Name>Trekking Knee System - Tibial Insert - CR</Name><Description>Tibial Insert - CR</Description><Size>Size: T1 - T5
Thickness: -0 - +13</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>287503</ARTG><ARTG>287505</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI976</BillingCode><Name>Vanguard E-Poly CR Tibial bearing</Name><Description>Vitamin E infused Highly Cross linked Polyethylene /cruciate Retaining Tibial bearing.</Description><Size>63 to 83 x (10-18mm)</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>222271</ARTG><ARTG>219196</ARTG><ARTG>267171</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK091</BillingCode><Name>Duracon Knee System CS Lipped Tibial Insert</Name><Description>Minimally stabilised, CS Lipped tibial insert, deep dish, UHMWPE, (Duration)</Description><Size>XS,S,M,L,XL Thickness 9,11,13,16,19,22,25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>216478</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA311</BillingCode><Name>balanSys Tibial Mobile Insert</Name><Description>Tibial Insert, Mobile bearing, UHMWPE,</Description><Size>XS/8mm to F/20.5mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211084</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW160</BillingCode><Name>Kinemax Knee System Tibial Insert</Name><Description>Minimally stabilised, tibial insert, Low Stress, UHMWPE (Duration)</Description><Size>8, 10, 12, 15, 18, 21, 25mm per size</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW248</BillingCode><Name>MRH (Modular Rotating Hinge) &amp; GMRS (Global Modular Replacement System) Tibial Inserts</Name><Description>MRH &amp; GMRS Tibial insert, (Duration) UHMWPE, for MRH and GMRS Tibial baseplate, CoCr (Vitallium), Fixed with central hole for Hinge</Description><Size>xsmall - xlarge</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>223659</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW102</BillingCode><Name>Duracon Knee System Tibial Insert </Name><Description>Minimally stabilised, tibial insert to match PCA femur with Duracon baseplate, UHMWPE (Duration)</Description><Size>Small, Medium, Large, Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm, 28mm, 31mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR284</BillingCode><PriorBillingCodes><PriorBillingCode>GO191</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Tibial Insert</Name><Description>Tibial Insert, Standard, Ultra &amp; Congruent, UHMWPE &amp; ECiMa, Size 1-6, 10mm to 20mm</Description><Size>Size 1, 10mm to 20mm, size 2, 10mm to 20mm, size 3, 10mm to 20mm, size 4, 10mm to 20mm, size 5, 10mm to 20mm, size 6, 10mm to 20mm.</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>278615</ARTG><ARTG>271614</ARTG><ARTG>388574</ARTG><ARTG>388575</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW232</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Rotating Hinge Tibial Insert</Name><Description>HMRS Rotating Hinge Tibial insert, UHMWPE (Duration), Fixed </Description><Size>6, 10, 14mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>247553</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI197</BillingCode><Name>Rotating Platform Knee System</Name><Description>Tibial Bearing, UHMWPE</Description><Size>60-75mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>297463</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR079</BillingCode><Name>Triathlon X3 CS Lipped Tibial Insert</Name><Description>Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty.</Description><Size>Sizes 0-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>218019</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI134</BillingCode><Name>NexGen Tibial Insert</Name><Description>Tibial Insert, fixed, standard and anterior lipped, UHMWPE</Description><Size>10 - 20 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>236459</ARTG><ARTG>241872</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA550</BillingCode><Name>balanSys vitamys Inlay</Name><Description>Tibial insert - cruciate retaining, ultra congruent and rotating platform, minimally stabilised, vitamys</Description><Size>59/8mm to 85/20.5mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>312506</ARTG><ARTG>312507</ARTG><ARTG>312503</ARTG><ARTG>312504</ARTG><ARTG>312505</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA058</BillingCode><Name>Persona Knee System</Name><Description>Medial Congruent tibial insert</Description><Size>10-20mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>290973</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA516</BillingCode><Name>BalanSys Tibial Insert</Name><Description>Tibial Insert, ultra congruent and minimally stabilised, UHMWPE</Description><Size>59/8mm to 85/20.5mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211081</ARTG><ARTG>211087</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL012</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – Tibial Insert iPoly XE</Name><Description>UHMWPE Vitmain E infused polyethylene (iPoly XE) minimally stabilised tibial insert.</Description><Size>Shape - Medial and Lateral; Thickness (Medial) - 6mm-16mm, patient-specific; Size (Lateral) - A-K, patient-specific </Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>377135</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY481</BillingCode><Name>PFC Sigma Knee System  tibial insert </Name><Description>Curved GVF Insert </Description><Size>Sizes  1.5 - 6.  8-20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>224761</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR031</BillingCode><Name>Triathlon Knee System Tibial Insert </Name><Description>Minimally stabilised, mobile bearing tibial insert, UHMWPE (N2VAC)</Description><Size>1 to 8, 9mm to 19mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA010</BillingCode><Name>Optetrak Logic Total Knee System, Tibial Insert, CR</Name><Description>Tibial Insert, UHMWPE, Fixed (Cruciate retained), Neutral, Slope +, Slope ++</Description><Size>Size 0 - 6, 9 - 15mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>285442</ARTG><ARTG>284907</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ509</BillingCode><Name>PFC Sigma Knee System  tibial insert </Name><Description>Tibial insert, UHMWPE, moderately cross linked</Description><Size>Sizes  1.5 - 6.  8-20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>219401</ARTG><ARTG>224759</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR250</BillingCode><Name>Unity Knee - Cruciate Retaining Insert</Name><Description>Tibial Insert Cruciate Retaining</Description><Size>Size 1 – 9, Thickness 9-20MM</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>223556</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR077</BillingCode><Name>Scorpio NRG X3 CR Tibial Insert</Name><Description>Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty.</Description><Size>Sizes 3,5,7,9,11 in thicknesses: 8,10,12,15,18,21,24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211473</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM174</BillingCode><Name>Smith &amp; Nephew CR XLPE Insert</Name><Description>Highly Cross-linked UHMWPE Cruciate Retaining Tibial Insert</Description><Size>1-8, 9-21mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>208014</ARTG><ARTG>280113</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO172</BillingCode><Name>Link Endo Model Rotational and Hinge Knee Prostheses</Name><Description>Plastic insert</Description><Size>Extra small - Extra large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>157545</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU074</BillingCode><Name>GMK ultracongruent Fixed tibial Insert</Name><Description>Ultracongruent fixed polyethylene insert</Description><Size>1 to 6, left to right, 10/12/14/17/20mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>210969</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD021</BillingCode><Name>3D Knee System Tibial Insert </Name><Description>Tibial insert, UHMWPE, fixed with lateral pivot with locking screw</Description><Size>Size 1 to 12, 9mm to 19mm</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>161909</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU146</BillingCode><Name>GMK Sphere Flex Insert</Name><Description>Fixed polyethylene insert</Description><Size>1 to 6, 10-11-12-13-14-17-20 mm
Left &amp; Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211413</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU034</BillingCode><Name>Evolis Knee System Tibial Insert   </Name><Description>Tibial Insert, UHMWPE, fixed  </Description><Size>1 - 6, 9/11/13/16/19mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>205623</ARTG><ARTG>204596</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW091</BillingCode><Name>Duracon Knee System Tibial Insert </Name><Description>Minimally stabilised, AP Lipped tibial insert, UHMWPE, (Duration)</Description><Size>Small, Medium, Large, Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>213154</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU068</BillingCode><Name>GMK Standard mobile tibial insert</Name><Description>posterior cruciate retaining mobile polyethylene insert</Description><Size>size 1 to 7, 10/12/14/17/20mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>210968</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU071</BillingCode><Name>GMK Standard Fixed Tibial Insert</Name><Description>Fixed polyethylene insert</Description><Size>1 to 6, left to right, 10/11/12/13/14/17/20mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211413</ARTG><ARTG>132459</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU197</BillingCode><Name>GMK Sphere CR Insert</Name><Description>Fixed polyethylene insert</Description><Size>1 to 6. 10 to 14 mm. Left and Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211413</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU092</BillingCode><Name>UC fixed insert for Evolis tibial revision</Name><Description>Polyethylene ultra-congruent fixed insert for Evolis tibial revision (using a GMK tibia)</Description><Size>Size 1 to 6, each one available in 5 thicknesses: 10, 12, 14, 17 20mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211448</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK328</BillingCode><Name>Triathlon Knee System Tibial Insert</Name><Description>Minimally stabilised, tibial insert, UHMWPE, (N2VAC)</Description><Size>Sizes 0 to 8 (9/11/13/16/19/22/25mm thickness)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>218000</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI450</BillingCode><Name>Natural Knee Tibial Insert</Name><Description>Tibial Insert, UHMWPE, Highly crossed linked (Durasul PE), congruent and ultra congruent</Description><Size>00 to 5, 9 to 22mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>228017</ARTG><ARTG>222216</ARTG><ARTG>220172</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI584</BillingCode><Name>NexGen Prolong Flex Articulating Surface</Name><Description>Highly Crosslinked - Ultra High Molecular Weight Polyethylene - Fixed Bearing - CR</Description><Size>Height 10-20mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>215512</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK333</BillingCode><Name>Scorpio NRG Knee System Tibial Insert </Name><Description>Minimally stabilised tibial insert, UHMPWE (N2VAC)</Description><Size>Sizes 3,4,5,6,7,9,11,13, x (8/10/12/15/18/21/24mm thickness)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>211472</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST912</BillingCode><Name>Duracon ISA Knee System Tibial Insert</Name><Description>Minimally stabilised, mobile bearing tibial insert, UHMWPE (Duration)</Description><Size>Small, medium, large, X-large - left, right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI962</BillingCode><Name>Persona Knee System</Name><Description>CR and UC tibial insert</Description><Size>10-18  mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>261276</ARTG><ARTG>261284</ARTG><ARTG>261275</ARTG><ARTG>261282</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI070</BillingCode><Name>Score Knee System Tibial Insert  </Name><Description>Tibial Insert, mobile bearing, UHMWPE</Description><Size>7 sizes, 5 thicknesses</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>271353</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB207</BillingCode><Name>Columbus Total Knee System (TKS) Tibial Insert  </Name><Description>Tibial Insert, UHMWPE, fixed </Description><Size>T0/0+ - T4/4+, T5  10mm -20mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>298115</ARTG><ARTG>279900</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH644</BillingCode><PriorBillingCodes><PriorBillingCode>OO103</PriorBillingCode></PriorBillingCodes><Name>ACS Knee Minimmaly Stabilised Tibial Insert</Name><Description>ACS PE Insert</Description><Size>10, 12.5, 15, 17.5, 20mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>265640</ARTG><ARTG>265624</ARTG><ARTG>265641</ARTG><ARTG>265643</ARTG><ARTG>265632</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB198</BillingCode><Name>Emotion Total Knee System (TKS) Tibial Insert </Name><Description>Tibial Insert, UHMWPE, mobile</Description><Size>T1 to T8 Size: 10 to 24mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>96482</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE251</BillingCode><Name>Active Knee Tibial Insert</Name><Description>Tibial Insert, UHMWPE</Description><Size>Sizes 1 - 5 Thickness 6 - 17.5mm</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>276961</ARTG><ARTG>276964</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI135</BillingCode><Name>NexGen Tibial Insert </Name><Description>Ant. Constr. - UHMWPE</Description><Size>9 - 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>220921</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI888</BillingCode><Name>Vanguard Total Knee System</Name><Description>Tibial Bearing, CR, curved or lipped, UHMWPE</Description><Size>59, 63/67, 71/75, 79/83, 87/91 widths, 10, 12, 14, 16, 18, 20, 22, 24mm thicknesses</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>223027</ARTG><ARTG>246654</ARTG><ARTG>219841</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH420</BillingCode><Name>Trekking Knee System, Tibial Insert</Name><Description>Tibial Insert</Description><Size>Size: T1 - T5
Thickness: +0 - +7</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>287506</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR013</BillingCode><Name>Scorpio Knee System Tibial Insert</Name><Description>Posterior stabilised mobile bearing insert,  UHMWPE (N2VAC)</Description><Size>10,12,15,18, 21mm thickness; sizews 3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA489</BillingCode><Name>balanSys Tibial Insert</Name><Description>Tibial insert, posterior stabilised UHMWPE</Description><Size>59/8mm to 85/23mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211054</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI934</BillingCode><Name>Persona Knee System</Name><Description>Persona PS Articular Surface</Description><Size>10-20 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>261277</ARTG><ARTG>261280</ARTG><ARTG>261281</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI587</BillingCode><Name>NexGen Prolong Flex Articulating Surface</Name><Description>Highly Crosslinked - Ultra high Molecular Weight Polyethylene - Mobile Bearing - LPS</Description><Size>Sizes 1 to 10, 9mm to 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>222990</ARTG><ARTG>223747</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA510</BillingCode><Name>Balansys Revision Knee, Tibial Insert</Name><Description>Tibial insert, contrained, with stabilising screw for reinforcement</Description><Size>64/10.5 to 85/23</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>210625</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST925</BillingCode><Name>Scorpio Knee System SuperFlex Tibial Insert </Name><Description>Posterior stabilised tibial insert, SuperFlex, UHMWPE (N2VAC)</Description><Size>3, 5, 7, 9 , 11, 13 in thickness 8, 10, 12, 15, 18, 21, 24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211482</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR078</BillingCode><Name>Scorpio NRG X3 PS tibial Insert</Name><Description>intended to be used in situations where the posterior cruciate ligament is absent, or cannot be preserved.</Description><Size>3,5,7,9,11 in thickness: 8,10,12,15,18,21,24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211474</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM175</BillingCode><Name>Smith &amp; Nephew PS XLPE Inserts</Name><Description>Highly Cross-linked UHMWPE Posterior Stabilized Tibial Insert</Description><Size>1-8; 9-25mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>208015</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL005</BillingCode><Name>Genesis II Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, Posterior Stabalised with peg, Fixed</Description><Size>SZ 1-8; 9-25mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>207044</ARTG><ARTG>207042</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW092</BillingCode><Name>Duracon Knee System Tibial Insert </Name><Description>Posterior stabilised tibial insert, with reinforcing pin, UHMWPE, (Duration) </Description><Size>Small, Medium, Large, Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>128028</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ013</BillingCode><Name>Saiph Knee System APS Tibial Insert</Name><Description>Compression Moulded Anterior Posterior Stablilised Tibial Bearing</Description><Size>A - F, Left &amp; Right 10 - 20mm</Size><SupplierCode>MJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>192415</ARTG><ARTG>117769</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA014</BillingCode><Name>Optetrak Logic Total Knee System, RBK Tibial Insert</Name><Description>Tibial Insert, UHMWPE, mobile, posterior stabilised</Description><Size>Size 1 - 5, 9 - 15mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>285911</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ956</BillingCode><Name>Attune Knee System</Name><Description>Posterior Stabilised Insert</Description><Size>1-10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>213019</ARTG><ARTG>220507</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR032</BillingCode><Name>Triathlon Knee System Tibial Insert</Name><Description>Posterior stabilised mobile bearing insert, UHMWPE (N2VAC)</Description><Size>1 to 8, 9mm to 22mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN876</BillingCode><Name>Profix Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, posterior stabilised with peg, fixed</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>224649</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY405</BillingCode><Name>PFC Sigma Knee System RPF tibial insert</Name><Description>Tibial insert, UHMWPE, rotating platform for high flex with post </Description><Size>Size 1 - 6.  10-17.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>209459</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ508</BillingCode><Name>PFC Sigma Knee System  tibial insert </Name><Description>Tibial insert, UHMWPE, moderately cross linked, with peg </Description><Size>Sizes  1 - 6.  8-30mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>97700</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ665</BillingCode><Name>PFC Sigma Knee System Tibial Insert</Name><Description>Tibial insert, posterior stabilised, UHMWPE, with post</Description><Size>Sizes 1.5-6.  8-25mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>224770</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL168</BillingCode><Name>Journey II BCS XLPE Insert</Name><Description>Highly cross-linked UHMWPE tibial insert</Description><Size>1-8 Left/Right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>370845</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN780</BillingCode><Name>Journey Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, Fixed posterior stabilised with peg</Description><Size>8-30mm, 1-10</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>278110</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY457</BillingCode><Name>PFC Sigma Knee System  tibial insert </Name><Description>Tibial insert, posterior stabilised, rotating platform UHMWPE</Description><Size>Sizes  2 - 6.  10-20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>223651</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA012</BillingCode><Name>Optetrak Logic Total Knee System, Tibial Insert, PS</Name><Description>Tibial Insert, UHMWPE, Fixed (Posterior Stabilised)</Description><Size>Size 0 - 6, 9-15mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>285502</ARTG><ARTG>285503</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR008</BillingCode><Name>Scorpio Knee System Tibial Insert</Name><Description>Posterior stabilised tibial insert, UHMWPE (N2VAC)</Description><Size>8-18mm in 2mm increments</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211470</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR020</BillingCode><Name>S7000 Tibial Insert </Name><Description>Posterior stabilised tibial insert, UHMWPE, (N2VAC), used for series 7000 revisions </Description><Size>3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18, 21,24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>128028</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA549</BillingCode><Name>balanSys vitamys Inlay</Name><Description>Tibial insert, posterior stabilised, vitamys</Description><Size>59/8 to 85/20.5</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>312506</ARTG><ARTG>312504</ARTG><ARTG>312505</ARTG><ARTG>312503</ARTG><ARTG>312507</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR261</BillingCode><Name>Unity Knee – Posterior Stabilised Insert</Name><Description>Tibial Insert Posterior Stabilised</Description><Size>Size 1 – 9, Thickness 9-20MM</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>223557</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI885</BillingCode><Name>ROCC Tibial Insert</Name><Description>Tibial Insert, mobile bearing, rotating platform, UHMWPE</Description><Size>Thickness 10-20MM, Size 55 to 75</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>226211</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU073</BillingCode><Name>GMK Ultracongruent Mobile Tibial Insert</Name><Description>Ultracongruent Mobile Polyethylene  Insert</Description><Size>size 1 to 7, 10/12/14/17/20mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>210980</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR002</BillingCode><Name>Triathlon Knee System Tibial Insert </Name><Description>Posterior stabilised insert, UHMWPE,(N2VAC) </Description><Size>Sizes 0 to 8 (9/11/13/16/19/22/25mm thickness)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>219399</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR012</BillingCode><Name>Scorpio NRG Knee System Tibial Insert </Name><Description>Posterior stabilised tibial insert, UHMWPE, (N2VAC)</Description><Size>Sizes 3,4,5,6,7,9,11,13, x (8/10/12/15/18/21/24mm thickness)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211460</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ306</BillingCode><Name>Vanguard Total Knee System</Name><Description>Vanguard PS Bearing</Description><Size>Size (mm) 10-24 Size (mm) 59-91</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>223028</ARTG><ARTG>219825</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI113</BillingCode><Name>Anatomic Fixed Bearing Insert</Name><Description>Posterior stabilised, fixed bearing polyethylene insert</Description><Size>Size 0 to 8  Heights 10 to 20</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>222532</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB209</BillingCode><Name>Columbus Total Knee System (TKS) Tibial Insert  </Name><Description>Tibial Insert, UHMWPE, fixed, posterior stabilised with included screw for fixation to baseplate</Description><Size>T0/0+ - T4/4+, T5  10mm - 20mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>279901</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB199</BillingCode><Name>Emotion Total Knee System (TKS) Tibial Insert </Name><Description>Tibial Insert, UHMWPE, mobile, posterior stabilised with peg</Description><Size>T1 to T8 Sizes: 10 to 24mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>96482</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH645</BillingCode><PriorBillingCodes><PriorBillingCode>OO104</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System</Name><Description>ACS Posterior Stabilised Tibial PE Insert</Description><Size>Sizes 2-6 x 10-20mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>265625</ARTG><ARTG>265639</ARTG><ARTG>265642</ARTG><ARTG>265626</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI071</BillingCode><Name>Score Knee System Tibial Insert  </Name><Description>Tibial Insert, mobile bearing, posterior stabilised with reinforcement post</Description><Size>20 sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>210526</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU090</BillingCode><Name>PS fixed insert for Evolis tibial revision</Name><Description>Polyethylene posterior-stabilised fixed insert for Evolis tibial revision (using a GMK tibia)</Description><Size>Size 1 to 6, each one available in 5 thicknesses: 10, 12, 14, 17 20mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211449</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI058</BillingCode><Name>NexGen LPS Tibial Insert </Name><Description>Tibial Insert, posterior stabilised, UHMWPE, mobile </Description><Size>Sizes 9 - 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>222625</ARTG><ARTG>230874</ARTG><ARTG>222233</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU059</BillingCode><Name>GMK Posterior Stabilised fixed tibial insert</Name><Description>Posterior Stabilised fixed polyethylene insert</Description><Size>size 1 to 6, 10/12/14/17/20mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>140176</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ214</BillingCode><Name>Vanguard SSK Knee System</Name><Description>Tibial Bearing Insert, PS non-constrained UHMWPE
</Description><Size>Size (mm) 10-24 Size (mm) 59-91</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>225307</ARTG><ARTG>221507</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH549</BillingCode><Name>Trekking Knee System, Tibial Insert - PS</Name><Description>Tibial Insert - PS</Description><Size>Size: T1 - T5
Thickness: +0 - +13</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>287511</ARTG><ARTG>287504</ARTG><ARTG>287510</ARTG><ARTG>287509</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GO257</BillingCode><Name>Apex Knee, Tibial insert</Name><Description>Tibial Insert, PS, PS-R, PS ECiMa &amp; PS-C</Description><Size>size 1 to 6mm x 10 to 28mm UHMWPE &amp; ECiMa</Size><SupplierCode>GO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>311062</ARTG><ARTG>282757</ARTG><ARTG>388576</ARTG><ARTG>282762</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ007</BillingCode><Name>Origin PS Fixed Tibial Insert</Name><Description>Patient-Matched posterior stabilised tibial fixed insert UHMWPE</Description><Size>Patient Specific - Left and Right Knee, 6 and 8mm thickness.</Size><SupplierCode>WQ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>382627</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU091</BillingCode><Name>GMK Revision semi-constrained fixed tibial insert</Name><Description>Semi-constrained Posterior Stabilised fixed Tibial Insert</Description><Size>Size 1 to 6, each one available in 8 thicknesses: 10, 12, 14, 17, 20, 23, 26, 29mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>211428</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR074</BillingCode><Name>Triathlon X3 PS Tibial Insert</Name><Description>Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty. Intended to be used in situation where the posterior cruciate ligament is absent, or cannot be preserved.</Description><Size>Sizes 0-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>218200</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU032</BillingCode><Name>Evolis Knee System Tibial Insert   </Name><Description>Tibial Insert, UHMWPE, fixed, posterior stabilised </Description><Size>1 - 6, 9/11/13/16/19mm thickness</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>205560</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI586</BillingCode><Name>NexGen Prolong Flex Articulating Surface</Name><Description>Highly Crosslinked - Ultra high Molecular Weight Polyethylene - Fixed Bearing - LPS</Description><Size>Sizes 1 to 10, 9mm to 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>230873</ARTG><ARTG>222148</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI057</BillingCode><Name>NexGen Flex Tibial Insert </Name><Description>Tibial Insert, fixed, posterior stabilised, high flex, UHMWPE</Description><Size>Sizes 9 - 23mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>230875</ARTG><ARTG>230874</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST024</BillingCode><Name>Scorpio Knee System Tibial Insert</Name><Description>Totally constrained tibial insert, with metal post, UHMWPE (X3)</Description><Size>8-24mm for all tibia sizes</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>211475</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI939</BillingCode><Name>Vanguard SSK Knee System</Name><Description>Tibial Bearing Insert, PSC, UHMWPE</Description><Size>10-24mm x 59-91mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>271192</ARTG><ARTG>226020</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB406</BillingCode><PriorBillingCodes><PriorBillingCode>BB352</PriorBillingCode><PriorBillingCode>BB389</PriorBillingCode></PriorBillingCodes><Name>EnduRo Meniscal Component</Name><Description>EnduRo Rotating Hinge Knee Meniscal Component</Description><Size>Sizes 1-3 10mm-24mm includes rotation axle, PEEK bushing and Tibial locking nut</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><Suffix>Axle included</Suffix><ARTGs><ARTG>303702</ARTG><ARTG>312502</ARTG></ARTGs><MinimumBenefit>1726</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH701</BillingCode><Name>MUTARS GenuX PE Insert</Name><Description>MUTARS GenuX PE Insert</Description><Size>Size: 2 - 6  Height : 12.5, 15, 17.5 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>250453</ARTG><ARTG>238794</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST601</BillingCode><Name>Duracon TS Knee System Tibial Insert</Name><Description>Totally constrained tibial insert, with metal post, UHMWPE (Duration)</Description><Size>Extra Small, Small, Medium, Medium Large, Large, Extra Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>218199</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX028</BillingCode><Name>Optetrak Total Knee System Tibial Insert</Name><Description>Tibial Insert, UHMWPE, fixed and totally stabilised with peg and reinforced with screw/post fixation (Spine stiffening screw)</Description><Size>Size 1 - 5, 1 Delta</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>277743</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI307</BillingCode><Name>Nexgen Rotating Hinge Tibial Insert</Name><Description>Tibial insert for NexGen Rotating Hinge prosthesis, UHMWPE, mobile. Includes hinge locking post.</Description><Size>12-26mm, sizes B-F</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>220053</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI904</BillingCode><Name>Vanguard Total Knee System</Name><Description>Vanguard SSK 360 Tibial Bearing</Description><Size>59mm width x (10 to 24)mm thickness</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>275613</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI137</BillingCode><Name>NexGen LCCK Tibial Insert</Name><Description>Tibial Insert, totally constrained, UHMWPE, fixed, with post</Description><Size>10 - 35mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>214760</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA092</BillingCode><Name>Persona Revision CCK Vivacit-E Articular Surface</Name><Description>Vitamin E blended polyethylene (Vivacit- E®) with a Tivanium® Ti- 6Al-4V insert and lockdown screw</Description><Size>AB, CD, EF, GH, and J in left and right confugrations</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>374552</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH415</BillingCode><Name>Samo TCK Revision Knee System</Name><Description>TCK poly insert</Description><Size>1-5,6-19mm</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>165471</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU101</BillingCode><Name>GMK Hinge fixed tibial insert</Name><Description>Tibial Insert for GMK Hinge prosthesis, UHMWPE, fixed, includes hinge locking post</Description><Size>1 to 6 10-26mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>211410</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV056</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision CCK Tibial Insert</Description><Size>Sizes 3-8  10mm - 24mm  Standard, Plus</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>317613</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN863</BillingCode><Name>Genesis II Knee System Tibial Insert</Name><Description>Tibial insert, UHMWPE, fixed, totally constrained</Description><Size>Left / Right 1 - 8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>207342</ARTG><ARTG>231595</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY367</BillingCode><Name>PFC Sigma TC3 Knee System  Tibial Insert </Name><Description>Tibial Insert, totally constrained, mobile bearing, UHMWPE, with post</Description><Size>Size 1.5 to 5 thickness of 10mm to 30mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>270732</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ532</BillingCode><Name>LCS Complete Knee System tibial insert </Name><Description>Tibial insert, UHMWPE, rotating platform, totally constrained, with reinforcing post  </Description><Size>Sizes small to large+. 10-25mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>259354</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN223</BillingCode><Name>Attune Knee System</Name><Description>Revision totally constrained tibial insert, fixed and mobile bearing</Description><Size>Size 1 - 10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>298540</ARTG><ARTG>298541</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB392</BillingCode><Name>Columbus Revision Tibial Insert</Name><Description>Columbus Revision Gliding Surface</Description><Size>10mm - 32mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>312588</ARTG><ARTG>312587</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ664</BillingCode><Name>PFC Sigma Knee System TC3 Tibial Insert</Name><Description>Tibial insert, totally constrained, UHMWPE, with post</Description><Size>Sizes 1.5-5.  10-30mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>227166</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF135</BillingCode><Name>SHiVA Modular Knee Prosthesis - Rotating Bearing</Name><Description>Rotating Bearing</Description><Size>Sizes 2,3 and 4 x 10mm</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL169</BillingCode><Name>Journey II BCS Constrained Insert</Name><Description>Tibial insert, UHMWPE, totally constrained</Description><Size>1-8; Left/Right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>370846</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM161</BillingCode><Name>Legion Hinge Guided Motion Tibial Insert</Name><Description>This tibial insert is used for the construction of the Legion hinge.</Description><Size>Sizes 2-7 11,13,15,18,21mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>232075</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP257</BillingCode><Name>SROM Noiles Knee System tibial insert</Name><Description>Tibial insert, rotating platform, hinged, with metal axis ring incorporated and polyethylene axis bearings</Description><Size>Sizes: XS, S, M; Thickness: 12mm - 31mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>219089</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK438</BillingCode><Name>Triathlon TS Knee System Tibial Insert</Name><Description>Totally constrained, TS (Total Stabilizer) Insert, with metal post, UHMWPE (X3)</Description><Size>Tibial Insert Sizes: Left &amp; right 9-31mm sizes 1-8
Reinforced Post Sizes 9-31mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>219400</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST656</BillingCode><Name>UNIX Unicompartmental Knee System Tibial Insert</Name><Description>Uni tibial insert, UHMWPE, Fixed</Description><Size>1, 2, 3, 4 in 8, 10, 12, 15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>216613</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU062</BillingCode><Name>GMK Unicompartmental fixed tibia insert</Name><Description>cemented unicompartmental polyethylene fixed tibial insert</Description><Size>1 to 5, left and right, 8/9/10/11/12/14mm thiknesses</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>223023</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW657</BillingCode><Name>Restoris MCK System, X3® Uni Tibial Onlay Insert</Name><Description>Uni Tibial Onlay Insert, Highly Crosslinked Polyethylene, fixed bearing</Description><Size>sizes 1 - 8 &amp; thickness 8mm - 12mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>283846</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA548</BillingCode><Name>balanSys Uni vitamys Inlay</Name><Description>Uni tibial insert, vitamys</Description><Size>5,6,7,9</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>312503</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI105</BillingCode><Name>Unicompartmental Tibial Insert</Name><Description>Uni Tibial Insert, UHMWPE, fixed </Description><Size>8 - 14 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>220168</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK587</BillingCode><Name>Restoris MCK Knee - Tibial Onlay Insert</Name><Description>Tibial Onlay Insert</Description><Size>Tibial Onlay Insert come in sizes 1 to 8, each size with 8, 9, 10 and 12mm thickness options</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>242173</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA454</BillingCode><Name>BalanSys UNI tibial Insert </Name><Description>Uni tibial insert, UHMWPE, fixed </Description><Size>5,6,7,9</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>212830</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK498</BillingCode><Name>Triathlon PKR - X3 Polyethylene Tibial insert</Name><Description>Uni tibial insert, X3 polyethylene, fixed</Description><Size>Size 1 to 6, thicknesses from 8mm to 12mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>224841</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA076</BillingCode><Name>Persona Partial Knee System</Name><Description>Tibial insert</Description><Size>8-14mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>336794</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI861</BillingCode><Name>Oxford Meniscal Knee System Uni Tibial Insert </Name><Description>Uni Tibial Insert conforming surface, mobile bearing, UHMWPE (Phase III)</Description><Size>(Small - Extra Large) x (3-9)</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>126863</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ779</BillingCode><Name>Sigma HP Unicompartmental Knee - Fixed bearing insert</Name><Description>Unicompartmental tibial insert, fixed bearing UHMWPE</Description><Size>Size 1-6, 7-11mm LM/RL &amp; RM/LL</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>233187</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT019</BillingCode><PriorBillingCodes><PriorBillingCode>TZ020</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Tibial Insert</Name><Description>Genus Uni Tibial Insert for use with Genus Uni Tibial Tray</Description><Size>Heights 9-14, Size 1-6, RM/LL, LM/RL</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>287900</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN837</BillingCode><Name>Journey Knee System Uni Tibial Insert</Name><Description>Uni Tibial Insert, for fixed bearing, UHMWPE</Description><Size>size 1-6, 8-11mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>154</SubCategoryID><GroupID>1372</GroupID><ARTGs><ARTG>207002</ARTG></ARTGs><MinimumBenefit>689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW988</BillingCode><Name>RESTORIS MCK Patellofemoral (PF) Knee System - Patellofemoral component</Name><Description>Trochlear component, CoCr, cemented</Description><Size>sizes 2-8, Left &amp; Right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>155</SubCategoryID><GroupID>1374</GroupID><ARTGs><ARTG>242175</ARTG></ARTGs><MinimumBenefit>2399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST600</BillingCode><Name>Avon Patello Femoral System Femoral Component</Name><Description>Trochlear component, CoCr (Vitallium), cemented</Description><Size>Extra Small, Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>155</SubCategoryID><GroupID>1374</GroupID><ARTGs><ARTG>217761</ARTG></ARTGs><MinimumBenefit>2399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI563</BillingCode><Name>Zimmer Gender Solutions Patellofemoral Joint System</Name><Description>Patellofemoral joint fem implant PMMA precoat</Description><Size>Sizes 1 - 5 - Left &amp; Right</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>155</SubCategoryID><GroupID>1374</GroupID><ARTGs><ARTG>212228</ARTG></ARTGs><MinimumBenefit>2399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN834</BillingCode><Name>Journey Knee System Patella Femoral Replacement Trochlear Component</Name><Description>Trochlear Component,cemented, Oxinium</Description><Size>Sm, Med Lg, XLg</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>155</SubCategoryID><GroupID>1375</GroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>242492</ARTG></ARTGs><MinimumBenefit>2616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH605</BillingCode><PriorBillingCodes><PriorBillingCode>OO012</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - PE patella implant</Name><Description>ACS PE patella</Description><Size>26mm, 29mm, 32mm, 35mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>265637</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT020</BillingCode><Name>Genus Knee System - Genus PE Patella</Name><Description>Polyethylene Patella</Description><Size>20 to 39mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>232066</ARTG><ARTG>232065</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP264</BillingCode><Name>SROM Noiles Knee System patella</Name><Description>All poly, cemented patella </Description><Size>Sizes 30 - 38mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>219087</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK419</BillingCode><Name>Triathlon Knee System Patella Component</Name><Description>Patella Component, Cemented,  Asymmetric &amp; Symmetric , (X3) UHMWPE</Description><Size>Asymmetric - Width: M/L 33-44mm &amp; S/I 29-40mm Thickness: 9mm - 11mm  Symmetric - Width: 27-39mm Thickness: 8mm - 11mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>212701</ARTG><ARTG>212702</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB375</BillingCode><Name>Aesculap Patella 3-Pegs</Name><Description>All poly patellar, UHMWPE cemented, 3 pegs</Description><Size>P1 - P5</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>293939</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH633</BillingCode><PriorBillingCodes><PriorBillingCode>OO057</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Patella</Name><Description>Mutars PE Patella</Description><Size>Standard Large</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>227773</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP152</BillingCode><Name>PFC Sigma Knee System</Name><Description>Cemented, all poly, patella</Description><Size>32-41mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>271408</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE050</BillingCode><Name>Active Knee Patella</Name><Description>Patella, cemented, UHMWPE</Description><Size>Sizes 1 - 5</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>276965</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN382</BillingCode><Name>Profix Knee System Patella Component</Name><Description>Patella Component, UHMWPE, Inset, cemented</Description><Size>23-29mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>223619</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK323</BillingCode><Name>Triathlon Knee System Patella Component</Name><Description>Patella Component, Cemented,  Asymmetric &amp; Symmetric, (X3) UHMWPE</Description><Size>Symmetric: 27mm x 8mm, 29mm x 8mm, 31mm x 9mm, 33mm x 9mm, 36mm x 10mm, 39mm x 11mm; Assymetric: 29mm x 9mm, 32mm x 10mm, 35mm x 10mm, 38mm x 11mm, 40mm x 11mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>212699</ARTG><ARTG>212700</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL246</BillingCode><PriorBillingCodes><PriorBillingCode>SN323</PriorBillingCode></PriorBillingCodes><Name>Genesis II Patella</Name><Description>Patella, cemented, UHMWPE, can be used for multiple systems (Genesis II, Journey, Legion)</Description><Size>23-41mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>242034</ARTG><ARTG>220595</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ008</BillingCode><Name>Origin Patella Cemented</Name><Description>Cemented patella component with medialised dome UHMWPE</Description><Size>XS to XL</Size><SupplierCode>WQ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>382628</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP524</BillingCode><Name>LCS Complete Knee System patella component </Name><Description>All Poly patella, UHMWPE, cemented</Description><Size>Sizes small to large+</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>217375</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI072</BillingCode><Name>Score Knee System Patella Component </Name><Description>All poly patella UHMWPE, cemented   Resurfacing and Inset</Description><Size>7 Diameters</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>216375</ARTG><ARTG>210604</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO042</BillingCode><Name>LINK Knee Patella Component</Name><Description>Patella Component, UHMWPE, cemented</Description><Size>Diameter: 25, 28, 30, 31, 34, 35 and 40mm
Height: 7, 8, 9 and 10mm</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>231794</ARTG><ARTG>223374</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW989</BillingCode><Name>RESTORIS MCK Patellofemoral (PF) Knee System - Patella component</Name><Description>Patella component, UHMWPE, cemented</Description><Size>Size 26 - 41</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>242172</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU061</BillingCode><Name>GMK  Inset Patella</Name><Description>Inset cemented polyethylene patella</Description><Size>sizes 1-2; 3-4; 5-6 (20/24/28/32mm diameter)</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>210970</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX038</BillingCode><Name>Optetrak Total Knee System</Name><Description>Patellar</Description><Size>26-41mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>279041</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH423</BillingCode><Name>Trekking Knee System, Patella Component</Name><Description>Patella Component</Description><Size>Size: 1, 2, 3
Diam (mm): 30, 35, 40</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>287502</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV011</BillingCode><Name>Advance Medial Pivot Knee System</Name><Description>All Poly Patella, Recessed, Onlay, Tri-Peg, Low-Dome, High-Dome</Description><Size>25-41mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>278303</ARTG><ARTG>278304</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD022</BillingCode><Name>3D Knee System Patellar component </Name><Description>All poly, cemented patella, 3 pegs </Description><Size>Size 26 to 38mm</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>161909</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF145</BillingCode><Name>Active Knee Patella</Name><Description>Patella, cemented, UHMWPE </Description><Size>Sizes 1 - 5</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>276965</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL009</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – iTotal Patella Implant, iPoly XE</Name><Description>Highly cross-linked ultra high molecular weight Vitamin-E enriched polyethylene (iPoly XE) patella component, cemented.</Description><Size>29x6mm, 32x6mm, 35x7mm, 38x8.5mm, 41x10mm, 44x12mm </Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>377132</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF138</BillingCode><Name>SHiVA Modular Knee Hinge Prosthesis - Patella Button</Name><Description>Patella Button</Description><Size>Sizes 2,3 and 4</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL010</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – iTotal Patella Implant, iPoly</Name><Description>Highly cross-linked ultra high molecular weight polyethylene (iPoly) patella component, cemented.</Description><Size>29x6mm, 32x6mm, 35x7mm, 38x8.5mm, 41x10mm, 44x12mm </Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>377133</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU031</BillingCode><Name>Evolis Knee System Patella Component </Name><Description>All poly patella, cemented, UHMWPE</Description><Size>20, 24,28, 30, 33, 36, 39mm diam</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>205561</ARTG><ARTG>204598</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK415</BillingCode><Name>Scorpio Knee System Patella Component</Name><Description>Patella Component, Inset, Recessed, Medialized dome, Universal Dome, Concentric Dome, UHMWPE (X3), Fixed, Cemented</Description><Size>Concentric &amp; Medialized Dome patella sizes: 5, 7, 9 &amp; 11; Universal Dome patella sizes: 3, 5, 7, 9 &amp; 11; Inset &amp; Recessed patella sizes: 26, 28, 30 and 32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>211463</ARTG><ARTG>211481</ARTG><ARTG>309143</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI454</BillingCode><Name>Natural Knee Patella CSTi</Name><Description>All Poly, Cemented, Patella</Description><Size>0-3</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>228016</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL245</BillingCode><PriorBillingCodes><PriorBillingCode>SN323</PriorBillingCode></PriorBillingCodes><Name>Journey Patella</Name><Description>Patella, cemented, UHMWPE </Description><Size>23-41mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>278111</ARTG><ARTG>206505</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK314</BillingCode><Name>Avon Patello Femoral System Patella Component</Name><Description>Patella component, UHMWPE (Duration), Fixed, cemented</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>216641</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW182</BillingCode><Name>PCA Modular Knee System Patella Component</Name><Description>Patella component, UHMWPE, (Duration), cemented</Description><Size>Small, Medium, Large, Extra Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>139146</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ015</BillingCode><Name>Saiph Knee System Patella Component</Name><Description>Polyethylene Patella Component</Description><Size>Diameter 23mm - 42mm</Size><SupplierCode>MJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>209578</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW140</BillingCode><Name>Kinemax Knee System Patella Component</Name><Description>Patella component Symmetric &amp; Asymmetric, UHMWPE (Duration), cemented</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>224198</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW105</BillingCode><Name>Duracon Knee System Patella Component</Name><Description>Patella component, UHMWPE (Duration), cemented</Description><Size>Small, Medium, Large, Xlarge</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>212696</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR282</BillingCode><PriorBillingCodes><PriorBillingCode>GO189</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, All-Poly Patella</Name><Description>All-Poly Dome 3 Peg Patella, ECiMa or UHMWPE</Description><Size>26mm x 10mm &amp; 8mm, 29mm x 10mm &amp; 8mm, 32mm x 10mm &amp; 8mm, 35mm x 10mm &amp; 8mm, 38mm x 10mm &amp; 8mm, 41mm x 10mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>278529</ARTG><ARTG>388573</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA111</BillingCode><Name>Balansys Patella Component</Name><Description>All Polyethylene, UHMWPE, cemented </Description><Size>Dia 25, 26, 28, 31, 34, 37mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>211442</ARTG><ARTG>211443</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI148</BillingCode><Name>NexGen/Persona Patella</Name><Description>All poly, cemented, patella, UHMWPE</Description><Size>26 - 41</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>261283</ARTG><ARTG>261274</ARTG><ARTG>225311</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST636</BillingCode><Name>Scorpio Knee System &amp; S7000 Knee System Patella Component</Name><Description>Patella component, Inlay, UHMWPE (N2VAC), cemented</Description><Size>3, 5, 7, 9, 11, 13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>211462</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR252</BillingCode><Name>Unity Knee – Patella</Name><Description>Patella Cemented</Description><Size>Sizes 1 – 5</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>223558</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI176</BillingCode><Name>Biomet Universal Patellar component</Name><Description>All poly Patella, cemented, UHMWPE, domed  </Description><Size>size 25 to 40mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>219842</ARTG><ARTG>219858</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ959</BillingCode><Name>Attune Knee System</Name><Description>All Poly Cemented Patella</Description><Size>29-41mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>220505</ARTG><ARTG>208794</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU072</BillingCode><Name>GMK Resurfacing Patella</Name><Description>resurfacing three pegged cemented polyethylene patella</Description><Size>sizes 1, 2, 3, 4</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>222424</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI576</BillingCode><Name>Zimmer segmental system - segments - femoral/ tibial</Name><Description>fem/tib segment male-female</Description><Size>Male/female x 30 - 220mm. Male/Male x 80- 90mm.</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>275845</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH689</BillingCode><Name>MUTARS intrameduallary connecting module</Name><Description>MUTARS intramedullary connecting module</Description><Size>100-440mm Length</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>244656</ARTG><ARTG>244052</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH649</BillingCode><PriorBillingCodes><PriorBillingCode>OO108</PriorBillingCode></PriorBillingCodes><Name>Mutars Tumour System</Name><Description>Mutars diaphyseal implant</Description><Size>100mm length x 11-19mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>284222</ARTG><ARTG>221740</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI868</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Diaphyseal Segment or Diaphyseal Coupler, Stacking Adapter and Locking Screws, Ti</Description><Size>Diaphyseal Segment 1-23cm, Diaphyseal coupler 10-30cm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>246837</ARTG><ARTG>204613</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK162</BillingCode><Name>GMRS (Global Modular Replacement System) Connection Piece </Name><Description>GMRS Connection Piece, uncemented Titanium, to replace varying lengths of diaphyseal bone loss</Description><Size>Left 80, 90mm; Right 80, 90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>242293</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW615</BillingCode><Name>METS Tibial Shaft</Name><Description>Titanium shaft</Description><Size>45-115mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><ARTGs><ARTG>246516</ARTG></ARTGs><MinimumBenefit>3845</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH632</BillingCode><PriorBillingCodes><PriorBillingCode>OO056</PriorBillingCode></PriorBillingCodes><Name>MUTARS - PE Inlay</Name><Description>MUTARS - PE Inlay</Description><Size>xsmall, Small, Standard, Large</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1384</GroupID><ARTGs><ARTG>227770</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW251</BillingCode><Name>MRS (Modular Replacement System) Tibial Insert </Name><Description>Tibial insert UHMWPE (Duration) for MRS Metal Encapsulated Rotating Hinge Tibial component, Mobile.</Description><Size>Small and Medium in 11, 13, 16, 21mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1384</GroupID><ARTGs><ARTG>141151</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH137</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Tibial bearing Insert UHMWPE</Description><Size>12-22mm Thick</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1384</GroupID><ARTGs><ARTG>238433</ARTG><ARTG>238432</ARTG><ARTG>238434</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW629</BillingCode><Name>METS Tibial Rotating Hinge Polyethylene</Name><Description>UHMWPE tibial bearing component</Description><Size>N/A</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1384</GroupID><ARTGs><ARTG>278136</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI566</BillingCode><Name>Zimmer segmental system - articulating surfaces</Name><Description>Segmental articulating surface</Description><Size>B, C, D, E &amp; F - 12, 14, 17, 20, 23 &amp; 26mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1384</GroupID><ARTGs><ARTG>284864</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI866</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Femoral or Tibial Augment, Ti</Description><Size>Femoral Sleeve - One Size; or Femoral Flange - One Size; or Tibial Block Augment 10-20mm;  or Tibial Augment Sleeve - Small/Large or Tibial Sleeve 3-7cm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>169733</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW607</BillingCode><Name>METS Tibial Plateau Plate</Name><Description>CoCr</Description><Size>Small and standard in 4 thicknesses</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>246518</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW618</BillingCode><Name>METS Femoral Plateau Plate</Name><Description>Titanium</Description><Size>Small &amp; Standard, 4 thicknesses</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>246518</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH653</BillingCode><PriorBillingCodes><PriorBillingCode>OO112</PriorBillingCode></PriorBillingCodes><Name>Mutars – Metaphyseal component</Name><Description>Mutars – Genux metaphyseal tibial spacer</Description><Size>Right/Left 25mm, 35mm, 45mm, 50mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>284267</ARTG><ARTG>221737</ARTG><ARTG>284269</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH652</BillingCode><PriorBillingCodes><PriorBillingCode>OO111</PriorBillingCode></PriorBillingCodes><Name>Mutars – Genux Augments</Name><Description>Mutars – Genux Augments</Description><Size>Size, small, 3,4,5, 5mm, 10mm, 15mm, 20mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>284269</ARTG><ARTG>221737</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO166</BillingCode><Name>Link Modular Knee ProsthesisSystem</Name><Description>Augments</Description><Size>X-Small, Small, Medium and Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1385</GroupID><ARTGs><ARTG>224949</ARTG><ARTG>245854</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW612</BillingCode><Name>METS Stem</Name><Description>Titanium, curved and straight</Description><Size>6 diameters, 10-15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>279902</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY194</BillingCode><Name>Limb Preservation System</Name><Description>LPS Diaphyseal Porous Straight Stem, with 2cm porous collar</Description><Size>Porocoat 10.5mm - 18.5mm diameter x 100mm - 125mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>227900</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY193</BillingCode><Name>Limb Preservation System</Name><Description>LPS Cemented Straight Stem with 2cm porous Collar</Description><Size>9mm - 17mm diameter, 100 - 125mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>228694</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY189</BillingCode><Name>Limb Preservation System</Name><Description>LPS Cemented Bowed Stem with 2cm porous Collar</Description><Size>11mm - 17mm diameter x 150 - 200mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>225059</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY190</BillingCode><Name>Limb Preservation System</Name><Description>LPS Diaphyseal Porous Bowed Stem, with 2cm porous collar</Description><Size>Porocoat 12.5mm - 18.5mm diameter x 150mm - 200mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>225060</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO167</BillingCode><Name>Link Modular Knee ProsthesisSystem</Name><Description>Stems</Description><Size>100, 120, 130, 160, 200, 240, 280, 320 and 360</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>222182</ARTG><ARTG>157545</ARTG><ARTG>245853</ARTG><ARTG>245852</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW646</BillingCode><Name>METS Integral Shaft &amp; Stem Coated</Name><Description>HA coated titanium collar, shaft and stem</Description><Size>Shaft Length 15-55mm, stem length 120mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>278020</ARTG><ARTG>277396</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH631</BillingCode><Name>MUTARS Stems</Name><Description>MUTARS Stems</Description><Size>120 -240 mm length, 11 - 23 mm diameter</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>244315</ARTG><ARTG>236017</ARTG><ARTG>244314</ARTG><ARTG>245435</ARTG><ARTG>244312</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK166</BillingCode><Name>GMRS (Global Modular Replacement System) Long Bowed Stem</Name><Description>GMRS Long Bowed Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix) </Description><Size>200mm stem length in 11, 12, 13, 14, 15, 16, 17, 18, 19mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>152389</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK167</BillingCode><Name>GMRS (Global Modular Replacement System) Short Bowed Pressfit Stem</Name><Description>GMRS Short Bowed Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix) </Description><Size>150mm in: 11, 12, 13, 14, 15, 16, 17, 18, 19mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>152389</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI864</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Stem, Cemented or Porous, Ti</Description><Size>(9-22.5)mm diameter x (80-300)mm length</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>250652</ARTG><ARTG>250653</ARTG><ARTG>250654</ARTG><ARTG>251373</ARTG><ARTG>250657</ARTG><ARTG>273724</ARTG><ARTG>250655</ARTG><ARTG>250656</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI574</BillingCode><Name>Zimmer segmental system - cemented stem</Name><Description>Segmental System Stem Extension</Description><Size>Length 130, 190 and 250mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>462046</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW247</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Oncology Femoral Stem -  Vitallium</Description><Size>127mm and 203mm length 11, 13, 15, 17mm diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>267612</ARTG><ARTG>267613</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW613</BillingCode><Name>METS Tibial Stem</Name><Description>Titanium</Description><Size>5 diameters 9-13mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>276635</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK168</BillingCode><Name>GMRS (Global Modular Replacement System) Straight Fluted Stem</Name><Description>GMRS Straight Fluted Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix) </Description><Size>125mm length in 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>152389</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW647</BillingCode><Name>METS Intergral Shaft and Stem</Name><Description>Titanium stem for use with tibial collar</Description><Size>Shaft 30-70mm, stem 120mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>276914</ARTG><ARTG>277396</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK330</BillingCode><Name>MRS (Modular Replacement System) Femoral Stems</Name><Description>MRS Femoral stems with female taper, Titanium, uncemented, </Description><Size>11 x 127mm,    13 x 127mm,    15 x 127mm,    17 x 127mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>244952</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV052</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Femoral Distal and Posterior Augments</Description><Size>4-12mm thickness, 
Size 3-8</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>196520</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST018</BillingCode><Name>Scorpio Knee System Femoral &amp; Tibial Augment</Name><Description>Femoral &amp; tibial blocks distal, posterior and full, CoCr, cemented</Description><Size>5mm &amp; 10mm for all sizes of femur and tibia. 5 degrees for all tibia sizes</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242298</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA025</BillingCode><Name>Optetrak Logic Total Knee System Femoral Augments</Name><Description>Femoral Augments for Logic CC femoral component, distal and posterior blocks, titanium, screw fixation</Description><Size>Size 1 - 5</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR036</BillingCode><Name>Triathlon Knee System Hemi Augments</Name><Description>Half (hemi) tibial blocks, CoCr, mechanical attachment </Description><Size>LM/RL &amp; LL/RM, 1 to 8, 5mm and 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242298</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK441</BillingCode><Name>Triathlon Knee System Femoral Augments</Name><Description>Femoral blocks distal &amp; posterior, CoCr, mechanical attachment</Description><Size>Left &amp; Right 5mm size 1-8 10mm size 1-8 15mm size 1-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242298</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI120</BillingCode><Name>Anatomic Knee Tibial Half Blocks</Name><Description>Tibial Half Blocks Cemented</Description><Size>Sizes 0/1/2, 3/4/5, 6/7/8  Thickness 5mm to 15mm  </Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>241999</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI065</BillingCode><Name>Score Knee System Tibial and Femoral Augments </Name><Description>Femoral blocks, tibial blocks cemented </Description><Size>31 sizes  Size A-D, Thickness 4-8mm  Size 1/2, 3/4/5, 6/7, Thickness 5-10-15mm</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>241999</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB355</BillingCode><Name>EnduRo Rotating Hinge Knee Tibial and Femoral Augments/Spacers</Name><Description>The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to
treat complex revision knee arthoplasty as well as unstable knees</Description><Size>Tibial Spacer(augment) to match Tibial component 4, 8, 12 &amp; 16mm Femoral Spacer distal (augment) to match femoral component 4, 8 &amp; 12mm
Femoral Spacer posterior/distal (augment) to match femoral component
4x4,4x8,4x12,8x4,8x8,8x12, 12x4, 12x8 and 12x12</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>247596</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH678</BillingCode><Name>MUTARS GenuX MK Augments</Name><Description>MUTARS GenuX MK Augments</Description><Size>1-6 Femoral distal,  Femoral posterior and 1-6 Tibial spacers. 5-20mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>284264</ARTG><ARTG>221737</ARTG><ARTG>284266</ARTG><ARTG>284265</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB320</BillingCode><Name>Emotion Total Knee System Tibial and Femoral Augments</Name><Description>Medial/Lateral Tibial, Distal Femoral and Postero-Distal Augments</Description><Size>4mm to 12mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>96481</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB380</BillingCode><Name>Aesculap AS Tibial and Femoral Augments</Name><Description>Tibial and Femoral Augments/Spacers CoCr with ZrN coating</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>247596</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH614</BillingCode><PriorBillingCodes><PriorBillingCode>OO026</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System-ACS spacer (tibial and femoral)</Name><Description>ACS tibial and femoral augments for use with mobile bearing and Revision FB tibial base plates</Description><Size>Left and Right, medial, lateral, posterior and distal.</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>221737</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR291</BillingCode><PriorBillingCodes><PriorBillingCode>GO260</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee</Name><Description>Apex Revision Knee Femoral and Tibial Augments</Description><Size>Femoral, Size 0-6+, 5mm/10mm/15mm  Tibial, Size 0-6, 4mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>252312</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR253</BillingCode><Name>Unity Knee - Augments</Name><Description>Tibial Full and Half block Augments, Femoral distal and posterior augments</Description><Size>All components available in Size: 1-9;
Thickness: 5 and 10mm

Tibia: Full, LM-RL, RM-LL,</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>274559</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI952</BillingCode><Name>Vanguard Total Knee System</Name><Description>Femoralor Tibial Augments, anatomic, distal or posterior, Ti alloy</Description><Size>5-15mm x 55-91mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>169733</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI143</BillingCode><Name>NexGen Knee Tibial Augments</Name><Description>NexGen Tibial Blocks - half and full, Titanium</Description><Size>1 - 10</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>109936</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA508</BillingCode><Name>Balansys Revision Knee, Augments</Name><Description>Revision Femoral/Tibial Augments, complete with screws</Description><Size>5 and 10mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>257053</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX026</BillingCode><Name>Optetrak Total Knee System Femoral Augments</Name><Description>Femoral Augments for CCK femoral component, distal and posterior blocks, titanium, screw fixation</Description><Size>Size 1-6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW099</BillingCode><Name>Duracon Knee System Tibial Augments </Name><Description>Tibial Augments Full wedge (angled) &amp; Full block (flat), CoCr (Vitallium), cemented</Description><Size>Left &amp; right, full &amp; angled, 5mm &amp; 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242298</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX025</BillingCode><Name>Optetrak Total Knee System Tibial Augments</Name><Description>Tibial Augments for CCK tibial component, half and third blocks, titanium, screw fixation</Description><Size>Size 1 - 6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI140</BillingCode><Name>Tibial Augments</Name><Description>Tibial Augments, wedges, hemi and one third and tibial blocks hemi, titanium</Description><Size>5-20MM</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242592</ARTG><ARTG>357912</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA022</BillingCode><Name>Optetrak Logic Total Knee System Tibial Augments</Name><Description>Tibial Augments for Logic CC tibial component, half and third blocks, titanium, screw fixation</Description><Size>Size 0 - 6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI145</BillingCode><Name>NexGen  Femoral Augments</Name><Description>Femoral blocks, combined posterior distal block </Description><Size>C - G</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242593</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI144</BillingCode><Name>Femoral Augments</Name><Description>Femoral blocks, posterior, distal and anterior, titanium </Description><Size>5-20MM</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>357912</ARTG><ARTG>242593</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST604</BillingCode><Name>Duracon Knee System Tibial Augments </Name><Description>Tibial Augments Half (hemi) wedge (angled) &amp; Half (hemi) block (flat), CoCr (Vitallium), cemented</Description><Size>LM/RL &amp; LL/RM in 5mm, 10mm thicknesses</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242298</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP269</BillingCode><Name>SROM Noiles Knee System femoral augments </Name><Description>Distal femoral augmentation blocks</Description><Size>5 and 10 mm distal thickness, for use with femoral sizes XS/S/M</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>237112</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN822</BillingCode><Name>Legion Knee System Tibial Augement</Name><Description>Tibial Augments, half blocks and half wedges, full blocks and full wedges, Titanium includes screws for fixation</Description><Size>5-15mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV045</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Tibial Base Augment</Description><Size>Sizes 1 - 8+  5mm - 15mm  Medial, Lateral  Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>196520</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU085</BillingCode><Name>GMK Revision femoral distal wedge</Name><Description>Screwed femoral distal augmentation</Description><Size>Size 1 to 6, each one available in 5 thicknesses: 4mm, 8mm, 12mm, 16 mm, 20 mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>254755</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU087</BillingCode><Name>GMK Revision femoral posterior wedge</Name><Description>Screwed femoral posterior augmentation</Description><Size>Size 1 to 6, each one available in 4 thicknesses: 4mm, 5mm, 8mm 10mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>254755</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH416</BillingCode><Name>Trekking Knee System - TCK Revision Tibial and Femoral Augments</Name><Description>TCK Revision Tibial and Femoral Augments (Knee Wedge)</Description><Size>Size: T1 - T5
Size: 5mm - 10mm</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>283166</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU094</BillingCode><Name>GMK Revision tibial wedge</Name><Description>Cemented tibial baseplate augmentation</Description><Size>Size 0 to 6   4 thicknesses available: 5, 10, 15, 20 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>254755</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO180</BillingCode><Name>Endo-Model Rotational and Hinge Knee Prosthesis</Name><Description>Augments, spacers, segments</Description><Size>(5-15) mm height, (X-Small, Small, Medium or Large) footprint  UHMWPE</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>245854</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN330</BillingCode><Name>Genesis II Knee System Tibial and Femoral Augments</Name><Description>Tibial Augments, half blocks and half wedges, (CoCr) and Femoral Augments, distal and posterior or distal and posterior combined</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM153</BillingCode><Name>Legion Hinge Femoral Wedge</Name><Description>A distal femoral Wedge for use with the Legion Hinge system.</Description><Size>Size 2 to 7 5,10,15,20mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN225</BillingCode><Name>Attune Knee System</Name><Description>Femoral and tibial augments</Description><Size>Size 1 to 10</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>298543</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP158</BillingCode><Name>PFC Sigma Knee System femoral  augments</Name><Description>Distal and posterior femoral augments, CoCr , with screws</Description><Size>Sizes  1.5 - 5.  4-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>237112</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF132</BillingCode><Name>SHiVA Modular Knee Hinge Prosthesis</Name><Description>SHiVA Modular Knee Hinge Prosthesis - Tibial Spacer</Description><Size>Size 2,3 and 4 x 5mm and 10mm thick</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF133</BillingCode><Name>SHiVA Hinge Knee Revision System - Spacer</Name><Description>SHiVA Hinge Knee Revision  Spacer including locking screws</Description><Size>Size 2 -4, Thickness 5 and 10 mm for Distal Femoral and Posterior Femoral Reference
Size 2-5 , Thickness 5 and 10 mm for Tibial Reference</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN821</BillingCode><Name>Legion Knee System Femoral Augment</Name><Description>Femoral Augment, posterior, distal and combined posterior and distal, Titanium, includes screws for fixation</Description><Size>size 1-8, 5-15mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW153</BillingCode><Name>Kinemax Knee System &amp; Modular Rotating Hinge Distal &amp; Posterior Femoral Augments &amp; Spacers</Name><Description>Distal &amp; posterior femoral blocks &amp; spacers, CoCr (Vitallium), cemented</Description><Size>Kinemax: Full, Distal &amp; Posterior Augments: xs-xl; 5mm /10mm         MRH Distal Femoral Augments xs-xl; 5mm / 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>242300</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ705</BillingCode><Name>LPS &amp; SROM Systems - Hinge Pin</Name><Description>Rotating Hinge Axle - uncemented, CoCr</Description><Size>xxsmall - medium</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1391</GroupID><ARTGs><ARTG>243112</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH635</BillingCode><PriorBillingCodes><PriorBillingCode>OO089</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Genux Locking screw for locking mechanism</Name><Description>Locking screw, axel, for Genux hinge locking mechanism</Description><Size>1 Size</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1391</GroupID><ARTGs><ARTG>250192</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW201</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Fixed Hinged Knee Axle Pin </Name><Description>HMRS Fixed Hinged Knee Axle Pin, CrCo, (Vitallium), uncemented, Fixed</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1391</GroupID><ARTGs><ARTG>262257</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN901</BillingCode><Name>Legion Hinge Axle</Name><Description>Is used to secure the Legion Hinge femoral component to baseplate.</Description><Size>Sizes 2-7</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1391</GroupID><ARTGs><ARTG>232073</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR315</BillingCode><PriorBillingCodes><PriorBillingCode>GO313</PriorBillingCode></PriorBillingCodes><Name>APEX knee Retaining Bolt</Name><Description>Tibial insert, Retaining Bolt, Uncoated knee tibia prosthesis, metallic  for PS, PS-C, PS-R, Congruent, Ultra inserts/ Tibial Baseplates</Description><Size>10-32 mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>309120</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR283</BillingCode><PriorBillingCodes><PriorBillingCode>GO190</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Locking Bolt</Name><Description>Tibial Insert Locking Bolt</Description><Size>One size</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>309120</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH636</BillingCode><PriorBillingCodes><PriorBillingCode>OO090</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Genux Locking screws</Name><Description>Locking screws for augments</Description><Size>Various</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>221737</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB404</BillingCode><Name>Aesculap Knee System Insert Bolt</Name><Description>Tibial insert locking bolt</Description><Size>10mm - 24mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>277359</ARTG><ARTG>277357</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH693</BillingCode><PriorBillingCodes><PriorBillingCode>OO145</PriorBillingCode></PriorBillingCodes><Name>MUTARS - KRI Screw M8</Name><Description>KRI Screw M8 - Tumour System and Arthrodesis Interlocking System</Description><Size>25mm - 50mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>250193</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP155</BillingCode><Name>PFC Sigma Knee System femoral stem bolts</Name><Description>Bolts to connect femoral stem, straight and offset </Description><Size>Neutral +/- 2mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1392</GroupID><ARTGs><ARTG>131657</ARTG></ARTGs><MinimumBenefit>212</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW228</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Rotating Hinge Axle</Name><Description>HMRS Rotating Hinge Axle - uncemented, CoCr (Vitallium)</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>246993</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW230</BillingCode><Name>HMRS (Howmedica Modular Replacement System) &amp; MRH (Modular Rotating Hinge) Rotating Hinge Bumper</Name><Description>HMRS &amp; MRH Rotating Hinge Bumper - (Duration) UHMWPE</Description><Size>HMRS: 0°, 3°, 5°       MRH: 0°, 3°</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>247297</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW229</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Rotating Hinge Femoral Bushing</Name><Description>HMRS Rotating Hinge Femoral Bushing - UHMWPE, (Duration) </Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>247554</ARTG><ARTG>242298</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI571</BillingCode><Name>Zimmer segmental system - segmental poly insert</Name><Description>Segmental poly insert</Description><Size>B &amp; C</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>292689</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN322</BillingCode><Name>Attune Knee System</Name><Description>ATTUNE Revision LPS Insert</Description><Size>XX-Small, X-Small, Small and Medium; 12-32 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>375180</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM154</BillingCode><Name>Legion Hinge Sleeve and Bolt</Name><Description>Is used to secure the Legion Hinge femoral component to the hinge mechanism attached to the baseplate.</Description><Size>Sizes 2-7</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>232076</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY196</BillingCode><Name>Limb Preservation System</Name><Description>Tibial Hinge Insert</Description><Size>XX-Small, X-Small, Small, Medium, Height (mm) 12 - 31</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>228695</ARTG><ARTG>314170</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO163</BillingCode><Name>Link Modular Knee ProsthesisSystem</Name><Description>Hinge components</Description><Size>Small, Medium, Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>223279</ARTG><ARTG>226253</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW231</BillingCode><Name>GMRS (Global Modular Replacement System) &amp; MRH (Modular Rotating Hinge) Tibial Rotating Component</Name><Description>GMRS &amp; MRH Tibial Rotating Hinge component (not baseplate) separated from femoral component by bumper and rotates on top of tibial insert , Fixed</Description><Size>GMRS-small  MRH/crossover                      MRH - xs-xl  &amp; l-xl</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>222421</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI309</BillingCode><Name>Nexgen Rotating Hinge Replacement </Name><Description>Rotating hinge replacement which includes metal rotating hinge plus Polyethylene bushing and fixation pin</Description><Size>B-F</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>109936</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW145</BillingCode><Name>GMRS (Global Modular Replacement System) MRH (Modular Rotating Hinge) Kinematic Rotating Hinge (KRH) Femoral Bushings &amp; Bumpers </Name><Description>GMRS, MRH, KRH Rotating Hinge Femoral Bushings &amp; Bumpers UHMWPE, (Duration) </Description><Size>Small &amp; standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>247296</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH640</BillingCode><PriorBillingCodes><PriorBillingCode>OO098</PriorBillingCode></PriorBillingCodes><Name>MUTARS Genux Hinge locking mechanism</Name><Description>Connecting piece; connecting distal femoral and proximal tibial replacement.</Description><Size>Genux Hinge Component</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>234172</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW144</BillingCode><Name>KRH (Kinematic Rotating Hinge) Tibial Bearing Component</Name><Description>KRH Rotating Hinge Tibial bearing component, CoCr, Mobile</Description><Size>Small and Medium 11mm/15mm by 110mm/180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>247934</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI573</BillingCode><Name>Zimmer segmental system - hinge servicing kit</Name><Description>Segmental femoral hinge servicing kit</Description><Size>B &amp; C</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>292690</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH699</BillingCode><Name>MUTARS GenuX MK Coupling</Name><Description>MUTARS GenuX MK Coupling</Description><Size>12.5, 15, 17.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>244653</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH136</BillingCode><Name>Orthopaedic Salvage System</Name><Description>OSS connector accessories - Polyethylenefemoral and tibial bushings, Polyethylene Lock Pin, CoCrMo standard axle, CoCrMo reinforced yoke</Description><Size>One size only</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>250658</ARTG><ARTG>250659</ARTG><ARTG>249554</ARTG><ARTG>251392</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK331</BillingCode><Name>MRH (Modular Rotating Hinge) Rotating Hinge Assembly Pack</Name><Description>MRH Assembly pack consists of: Tibial sleeve, Bumper insert &amp; Femoral Bushing components UHMWPE (Duration)</Description><Size>1 Tibial Sleeve, 1  Bumper Insert, 2 Femoral Bushing Components</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>223925</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR293</BillingCode><PriorBillingCodes><PriorBillingCode>GO284</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee Modular Tibia Cup</Name><Description>Modular Tibia Cup</Description><Size>Only One size</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1395</GroupID><ARTGs><ARTG>276775</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH651</BillingCode><PriorBillingCodes><PriorBillingCode>OO110</PriorBillingCode></PriorBillingCodes><Name>Mutars – end piece</Name><Description>Mutars – end piece</Description><Size>1 size</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1395</GroupID><ARTGs><ARTG>284235</ARTG><ARTG>221738</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB241</BillingCode><Name>Emotion Total Knee System (TKS) Tibial Stem</Name><Description>Tibial Stem (cap), cemented or uncemented, short (mini) (obturator stem) CoCr, usually required when stem not used</Description><Size>12mm, 14mm &amp; 16mm in cemented and uncemented</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1395</GroupID><ARTGs><ARTG>96481</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB210</BillingCode><Name>Columbus Total Knee System (TKS) Tibial Stems</Name><Description>Tibial Stem (cap), cemented or uncemented, short (mini) (obturator stem) CoCr, usually required when stem not used</Description><Size>Small &amp; Large D: 12mm &amp; D: 14mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1395</GroupID><ARTGs><ARTG>96481</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV050</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Stem Cap</Description><Size>one size</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1395</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN228</BillingCode><Name>Attune Knee System</Name><Description>Offset adaptor</Description><Size>2 to 6mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>288501</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK435</BillingCode><Name>Triathlon Knee System Tibial / Femoral Offset Adaptor </Name><Description>Tibial &amp; femral offset adaptor, CoCr</Description><Size>2,4,6,8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA026</BillingCode><Name>Optetrak Logic Offset Stem Extension Couplers</Name><Description>Cemented Offset Couplers with 2, 4, 6, or 8mm of offset</Description><Size>2mm - 8mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ654</BillingCode><Name>PFC Sigma - Femoral Adaptor</Name><Description>Offset Adaptor</Description><Size>5 and 7 degree</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>131657</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU088</BillingCode><Name>GMK Revision offset adaptor</Name><Description>Offset adaptor for tibial and femoral revision extension stem</Description><Size>3mm and 5mm offset</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>211488</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV053</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision CCK Femoral Offset Adapters</Description><Size>4 and 8mm offset</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV047</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Offset Stem Adapter</Description><Size>4mm - 8mm x 25mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN885</BillingCode><Name>Genesis II/Legion Knee System Offset Couplers</Name><Description>Offset Coupler, titanium</Description><Size>2-6</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>246212</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH680</BillingCode><PriorBillingCodes><PriorBillingCode>OO162</PriorBillingCode></PriorBillingCodes><Name>MUTARS GenuX MK Offset Adapter</Name><Description>MUTARS GenuX MK Offset Adapter</Description><Size>Offset adapter 0mm, +2mm, +4mm, +6mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>245856</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH637</BillingCode><PriorBillingCodes><PriorBillingCode>OO093</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Genux offset adapter</Name><Description>Offset Adapter</Description><Size>0, 2.5mm, 5mm, 7.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>250452</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH615</BillingCode><PriorBillingCodes><PriorBillingCode>OO027</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - ACS double taper adapter</Name><Description>ACS offset adapters for use with ACS FB, MB tibial and femoral components and stems</Description><Size>0, +2mm, +4mm, +6mm.</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>265644</ARTG><ARTG>265635</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI067</BillingCode><Name>Score Knee System Offset Connector</Name><Description>Connector for stems to alter stem offset morse taper but also including screw for additional fixation, titanium</Description><Size>2mm, 4mm, 6mm</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>242001</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH414</BillingCode><Name>Trekking Knee System - TCK Femoral and Tibial Offsets</Name><Description>TCK Femoral, Tibial Offset Adaptors</Description><Size>Size (mm): 2, 4, 6
Offsets: Straight, Posterior, Lateral, Medial</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>287513</ARTG><ARTG>287512</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST603</BillingCode><Name>Duracon Knee System Tibial / Femoral Offset Adaptor</Name><Description>Tibial / Femoral Offset Adaptor, CoCr, (Vitallium)</Description><Size>2mm, 4mm, 6mm, 8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI956</BillingCode><Name>Offset Tibial Tray System </Name><Description>Offset Adapter for connection to tibial stems and baseplate, titanium </Description><Size>2.5mm, 5mm, 7.5mm Offset</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>310090</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO043</BillingCode><Name>LINK Endo Model Rotational and Hinge Knee Prosthesis System</Name><Description>Full tibial blocks made of UHMWPE </Description><Size>Small, Medium, Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>140652</ARTG><ARTG>51002</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN342</BillingCode><Name>Genesis</Name><Description>Custom Flex Lock Peg</Description><Size>Left &amp; right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>230143</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO159</BillingCode><Name>LINK Endo Model M Modular Knee Prostheses System</Name><Description>Centering Stars</Description><Size>Small, medium, large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>257592</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN318</BillingCode><Name>Genesis II</Name><Description>Lugs</Description><Size>Various sizes</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>230143</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP255</BillingCode><Name>SROM Noiles Knee System bumper and hinge bearing replacements </Name><Description>Replacements for UHMWPE axis bearings and bumpers, for hinged prosthesis </Description><Size>Sizes xxsmall - medium.</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>98092</ARTG><ARTG>131657</ARTG><ARTG>132151</ARTG><ARTG>97698</ARTG><ARTG>98088</ARTG><ARTG>97981</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI173</BillingCode><Name>Maxim Complete Knee System Tibial Locking Bar</Name><Description>Insert locking pin, Titanium</Description><Size>One size only</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>98451</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI741</BillingCode><Name>Zimmer Segmental System - TM Tibia Washer Kit</Name><Description>Zimmer Segmental System - TM Tibia Washer Kit</Description><Size>one size only</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>95761</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR317</BillingCode><PriorBillingCodes><PriorBillingCode>GO314</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee - Tibial Insert Locking Peg/Bolt</Name><Description>Tibial Insert Locking Peg/Bolt</Description><Size>10; 11; 12; 14; 16; 18; 20; 24 and 28mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>276775</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI406</BillingCode><Name>Natural Knee Tibial Augment Fixation </Name><Description>Tibial Augment Fixation peg and screws  </Description><Size>One size only</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>109936</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV017</BillingCode><Name>Cancellous Bone Screw</Name><Description>Option bone screw for tibial component</Description><Size>6.5mm x 1.5 - 6cm in 0.5cm increments long</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>247558</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU036</BillingCode><Name>Evolis Knee System Fixation Screw </Name><Description>Tibial screw for baseplate fixation to bone, titanium, optional </Description><Size>20/25/30/35/40/45mm (6.5mm diameter)</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>219907</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV049</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision System Screws</Description><Size>Pass Through, Stem Extension, Side Lock, CCK Pass Through 10-24mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>247558</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT021</BillingCode><PriorBillingCodes><PriorBillingCode>TZ022</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Tibial Screw</Name><Description>Bone Screws for use with the Genus Uni Tibia</Description><Size>6.5mm 20-50mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>237073</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX030</BillingCode><Name>Optetrak Total Knee System Tibial Stem Extension Screw</Name><Description>Tibial Stem Screw for Tibial stem fixation</Description><Size>One size only</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>252474</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN329</BillingCode><Name>Genesis II</Name><Description>Tibial screws</Description><Size>15-50mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>230143</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR285</BillingCode><PriorBillingCodes><PriorBillingCode>GO192</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Bone Screw</Name><Description>6.5mm Bone Screw</Description><Size>15mm, 20mm, 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 65mm, 70mm.</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>242554</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH616</BillingCode><PriorBillingCodes><PriorBillingCode>OO029</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - ACS Screws</Name><Description>Screw for spacers and augments</Description><Size>2 sizes</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>221737</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR290</BillingCode><PriorBillingCodes><PriorBillingCode>GO259</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee - Femoral and Tibial Augment Locking Screw/Bolt</Name><Description>Femoral and Tibial Locking Screw/Bolt</Description><Size>Femoral Augment Locking Screw/Bolt - one size only  Tibial Augment Locking Screw/Bolt - 4mm, 8mm, 12mm</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>252312</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW195</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Plug screw Axis</Name><Description>HMRS Plug Screw Axis, UHMWPE, (Duration) for fixation of HMRS Axis within HMRS bearing component of HMRS Distal Femur / Proximal Tibia and HMRS Femoral / Tibial Joint. </Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1398</GroupID><ARTGs><ARTG>261512</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN319</BillingCode><Name>Genesis II</Name><Description>Metaphyseal Stem</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>246212</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB353</BillingCode><Name>EnduRo Rotating Hinge Knee Tibial and Femoral Extension Stems cementless and cemented</Name><Description>The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to  treat complex revision knee arthoplasty as well as unstable knees</Description><Size>Length Tibial: 52,92&amp;172mm Length Femoral: 77,117,157&amp;177mm - Tibial Cemented: x 12,15,18mm - Tibial Cementless: x 11-20cm - Femoral Cemented: x 12,15,18mm - Femoral Cementless: x 13-20mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>277356</ARTG><ARTG>277359</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN377</BillingCode><Name>Profix</Name><Description>Metaphyseal Tibial Stem</Description><Size>14-20mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>246212</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP143</BillingCode><Name>PFC Sigma Knee System tibial stems</Name><Description>Tibial stems cemented and fluted uncemented, titanium</Description><Size>Sizes 30-150mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>238732</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN208</BillingCode><Name>Attune Knee System</Name><Description>Revision Stems</Description><Size>14mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>288501</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN226</BillingCode><Name>Attune Knee System</Name><Description>Revision stems</Description><Size>10 to 24mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>288501</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH638</BillingCode><PriorBillingCodes><PriorBillingCode>OO094</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Genux stems</Name><Description>Genux cemented. Press fit stems</Description><Size>130-240mm length, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20mm wide</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>241989</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA021</BillingCode><Name>Optetrak Logic Stem Extension Femoral and Tibial</Name><Description>Femoral and Tibial Stems for Logic CC System, titanium, cemented or uncemented</Description><Size>10mm - 24mm, length 25mm - 160mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>250112</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU035</BillingCode><Name>Evolis Knee System Tibial Stem </Name><Description>Tibial stems, titanium, cemented</Description><Size>30/60mm length (12mm diameter)</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>254754</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU069</BillingCode><Name>GMK Tibial Extension Stem</Name><Description>Tibial Baseplate extension stem</Description><Size>diameter 11mm, length 65mm &amp; 30mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>241989</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN316</BillingCode><Name>Genesis II Knee System Tibial and Femoral Stems</Name><Description>Tibial and Femoral Stems, titanium, cemented or press fit</Description><Size>10-24x100mm, 10-20 x 150mm 10-16x 200mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>246212</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST606</BillingCode><Name>Duracon Knee System Tibial &amp; Femoral stem</Name><Description>Stem, femoral &amp; tibial, titanium, cemented</Description><Size>10mm-19mm, 21mm, 23mm in 80mm and 155mm lengths</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV048</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Stems - Cemented, Canal Filling</Description><Size>17mm - 18mm x 25mm - 75mm
10mm - 24mm x 100m - 150mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN823</BillingCode><Name>Legion Knee System Femoral and Tibial Stems</Name><Description>Femoral and Tibial stems, Titanium, Cemented or press fit</Description><Size>120-280mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>246212</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ655</BillingCode><Name>PFC Knee System - Universal Slotted Stem</Name><Description>Tibial/Femoral Stem-Titanium</Description><Size>Lengths 75, 115, 150mm; widths 10 to 24mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>238732</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO173</BillingCode><Name>Link Endo Model Rotational and Hinge Knee Prostheses</Name><Description>Stems</Description><Size>Extra small - Extra large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>157545</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI066</BillingCode><Name>Amplitude Femoral and Tibial Stems</Name><Description>Femoral and Tibial Stems, Titanium, cemented</Description><Size>7 diameters (10-22), 4 lengths (75-200mm)</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>275851</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA507</BillingCode><Name>Balansys Revision Knee, Stems</Name><Description>Ti uncemented Stem, straight and offset, complete with locking screw</Description><Size>80 to 200mm, straight and offset 4mm</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>257054</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI184</BillingCode><Name>Biomet Universal Tibial and femoral stems</Name><Description>Tibial and Femoral Stems, Titanium, curved and straight, cemented</Description><Size>40-200mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>177878</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA094</BillingCode><Name>Persona Revision Stem Extension, Splined, Smooth and Tapered</Name><Description>Composed of Tivanium alloy, for hybrid or cemented fixation</Description><Size>Length-     +30, +75 mm (tapered)  +135, +175 mm ( splined and smooth)           Diameter-     11, 14 mm (tapered)   10, 12, 14, 16, 18, 20, 22, 24 mm (smooth)  10, 11, 12, 13, 14, 15, 16, 17, 18, 20, 22, 24 mm (splined)</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>374554</ARTG><ARTG>374553</ARTG><ARTG>374555</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI146</BillingCode><Name>NexGen Femoral and Tibial Stems</Name><Description>Femoral and Tibial Stems, straight and offset, cemented </Description><Size>Length - 35 - 245mm, Diameters - 10 - 24 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242181</ARTG><ARTG>242182</ARTG><ARTG>242180</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR292</BillingCode><PriorBillingCodes><PriorBillingCode>GO283</PriorBillingCode></PriorBillingCodes><Name>Apex Revision Knee Stems</Name><Description>Apex Revision Knee Femoral and Tibial Stems</Description><Size>Modular Stem - 9-25mm x 75-150mm Offset - 9-25mm x 75-15mm x 2-4mm Angled Stem - 9-25mm x 75x150mm Revision Fluted Stem - 10-24mm x 100-150mm Revision Fluted Offset Stem - 10-24mm x 100-150mm x 4mm Modular Tibial Keels 1-16</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>276775</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR035</BillingCode><Name>Triathlon Knee System TS stem</Name><Description>Tibial stem, Titanium, cemented</Description><Size>9x50mm, 9x100mm, 9x150mm, 12x50mm, 12x100mm, 12x150mm, 15x50mm, 15x100mm, 15x150mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB379</BillingCode><Name>Aesculap AS Tibial and Femoral Stems</Name><Description>Tibial and Femoral Stems, cemented or uncemented, CoCr with ZrN coating</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>277356</ARTG><ARTG>277359</ARTG><ARTG>277357</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB242</BillingCode><Name>Columbus Total Knee System (TKS) Tibial Stem</Name><Description>Tibial Stem, cemented or uncemented, CoCr</Description><Size>12mm &amp; 14mm,  in uncemented, 12mm &amp; 14mm in cemented. </Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>277359</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB200</BillingCode><Name>Emotion Total Knee System (TKS) Tibial and Femoral Stems</Name><Description>Tibial and femoral stems, CoCr, cemented or uncemented</Description><Size>Short, D: 10mm to 20mm , Medium, D: 10mm to 20mm, Long, D: 10mm to 20mm</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>277356</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX027</BillingCode><Name>Optetrak Total Knee System Femoral and Tibial Stems</Name><Description>Femoral and Tibial Stems for Optetrak Knee System, titanium, cemented or uncemented, femoral stem requires stem extension adapter on every occasion, tibial stem requires screw fixation</Description><Size>Size 1 - 6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>250112</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH662</BillingCode><PriorBillingCodes><PriorBillingCode>OO122</PriorBillingCode></PriorBillingCodes><Name>ACS Knee system, ACS stems, straight and offset</Name><Description>ACS tibial and femoral stems</Description><Size>12/14/16/18/20/22mm dia stems, 25/50/75/100/150/200mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>265633</ARTG><ARTG>265634</ARTG><ARTG>241989</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF137</BillingCode><Name>SHiVA Hinge Knee Revision System - Stems</Name><Description>Knee revision Extension Stem</Description><Size>Straight 10 - 18mm Diameter; 50 to 150mm Length
Offset 10 - 16 mm Diameter; 75mm Length</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU082</BillingCode><Name>GMK Revision cemented extension stem</Name><Description>Cemented tibia and femur extension stem</Description><Size>Diameters 11, 13 and 16mm, available in 2 or 3 lengths (65, 105, 150mm)</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>254754</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI936</BillingCode><Name>Persona Knee System</Name><Description>Stem Extension</Description><Size>14mm x 30mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>250072</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW171</BillingCode><Name>Duracon Knee System / Kinemax Knee System stem</Name><Description>Stem, femoral &amp; tbial, CoCr, (Vitallium), cemented</Description><Size>40mm, 80mm, 155mm for each size</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH418</BillingCode><Name>Trekking Knee System - TCK Femoral and Tibial Stems</Name><Description>TCK Femoral and Tibial Stems</Description><Size>Size (mm): 10 - 23
Size (mm): 40 - 120</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>283167</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR037</BillingCode><Name>Triathlon Knee System Femoral Distal Fixation Peg</Name><Description>Modular Femoral Distal Fixation Peg CoCr</Description><Size>one size</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242294</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU086</BillingCode><Name>GMK Revision uncemented extension stem</Name><Description>Uncemented tibia and femur extension stem</Description><Size>Multiple diameters (10, 11, 12, 13, 14, 15, 16, 18, 19, 20, 22mm) each one available in 3 lengths (65, 105, 150mm)</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>254754</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK434</BillingCode><Name>Triathlon Knee System TS Titanium stem</Name><Description>Stem, Titanium, uncemented</Description><Size>10-25 (100mm) 10-25 (150mm)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH679</BillingCode><Name>MUTARS GenuX MK Stems</Name><Description>MUTARS GenuX MK Stems</Description><Size>11/12/13/14/15/16/17/18/19/20/22/24/26/28mm dia. 125/150/200/250 length</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>241989</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR265</BillingCode><Name>Unity Knee – Stem Extenders</Name><Description>Tibial Stem extenders and offset couplings -cemented</Description><Size>3mm, 6mm  Diameter Ø10-18  Length 60 , 30 and 100mm  Offset and straight</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>274747</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB319</BillingCode><Name>Emotion Total Knee System Femoral Stem Extension</Name><Description>Revision nut for Femur Extension Stem</Description><Size>One size only</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>96481</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK442</BillingCode><Name>Triathlon Knee System Stem Extender</Name><Description>Stem extender, cemented, CoCr </Description><Size>25mm &amp; 50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>242297</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB351</BillingCode><Name>Enduro Rotating Hinge Knee Femoral Stem locking nut neutral</Name><Description>The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to treat complex revision knee arthroplasty as well as unstable knees.</Description><Size>1 size neutral (for all femoral stems)</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>96481</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB381</BillingCode><Name>Aesculap AS Femoral Stem Locking Nut</Name><Description>Femoral Stem Locking Nut, CoCr with ZrN coating</Description><Size>One size</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>277359</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL073</BillingCode><Name>Legion Tibial Cone</Name><Description>Tibial cone augment intended to fill cavitary bone defects in the proximal tibial metaphyseal bone.</Description><Size>Short-long, 18-30 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL074</BillingCode><Name>Legion Femoral Cone</Name><Description>Femoral cone augment intended to fill cavitary bone defects in the femoral metaphyseal bone</Description><Size>left/right, 18-30mm</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>238696</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY157</BillingCode><Name>MBT  Knee Systems tibial metaphyseal sleeve</Name><Description>Universal tibial metaphyseal sleeve, Porocoat, smaller size cemented or uncemented, larger sizes uncemented, titanium</Description><Size>29 - 61mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>237112</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY156</BillingCode><Name>LCS, PFC and SROM  Knee Systems, femoral metaphyseal sleeve</Name><Description>Universal femoral metaphyseal sleeve, Porocoat, smaller size cemented, larger sizes uncemented, titanium</Description><Size>20 - 46mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>237112</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN227</BillingCode><Name>Attune Knee System</Name><Description>Metaphyseal Sleeves, femoral and tibial</Description><Size>29 to 69mm plus cemented</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>298543</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ706</BillingCode><Name>LCS, PFC &amp; SROM Knee System - Universal Fully Porous Femoral Metaphyseal Sleeve</Name><Description>Universal Fully Beaded (Porocoat) Femoral Metaphyseal Titanium Sleeve</Description><Size>31-46mm</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>237112</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO190</BillingCode><Name>TrabecuLink Femoral Cones</Name><Description>Trabecular Tilastan Femoral void filling cone intended for proximal metaphyseal bone surrounding stem, full or stepped</Description><Size>3 - Zones: 2- Zones: Proximal:  right; left:  XS - x-small; S - small; M - medium; L - large:  Depth: 26.00 mm - 32 mm:  Width: 37 mm - 52 mm:  Height: 30 mm - 60 mm</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>373076</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO189</BillingCode><Name>TrabecuLink Tibial Cones</Name><Description>Trabecular Tilastan Tibial void filling cone intended for proximal metaphyseal bone surrounding stem, full or stepped</Description><Size>Full; right half; left half  XS - x-small; S - small; M - medium; L - large  Depth: 33.00 mm - 37.50 mm  Width: 48 mm - 66 mm  Height: 12 mm - 30 mm</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>373076</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU152</BillingCode><Name>3D Metal Tibial Cone</Name><Description>Tibial Cone</Description><Size>Centred cones, sizes from XS to L, Height 20-25 mm
Eccentric cones, sizes from S to L, Height 20-25 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>254755</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU175</BillingCode><Name>3DMetal Diaphyseal Femoral Cones</Name><Description>Femoral cone</Description><Size>Small, Medium, Large, Extra Large</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>254755</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA027</BillingCode><Name>Optetrak Logic Tibial Metaphyseal Cones</Name><Description>3D printed titanium tibial metaphyseal cones to achieve metaphyseal fixation in cases where bone stock is compromised.</Description><Size>29, 32, 39, 48, 57, and 65mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW574</BillingCode><Name>Triathlon Tritanium Femoral Cone Augments</Name><Description>3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems</Description><Size>Femoral Cone Augments, 6 sizes, L &amp; R (Size 1-2, Size 3, 4, 5, 6 and Size 7-8)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>262263</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW576</BillingCode><Name>Triathlon Tritanium Asymmetric Tibial Cone Augments</Name><Description>3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems.</Description><Size>Asymmetric Tibial Cone Augments, 4 sizes, LM/RL &amp; RM/LL, (B-E).</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>262263</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA023</BillingCode><Name>Optetrak Logic Femoral Metaphyseal Cones</Name><Description>3D printed titanium femoral metaphyseal cones to achieve metaphyseal fixation in cases where bone stock is compromised.</Description><Size>Femoral cones: small, medium, large, and x-large with heights 32mm, 42mm, and 52mm</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI485</BillingCode><Name>Trabecular Metal Tibial Cone</Name><Description>Trabecular Metal Tibial void filling cone for proximal metaphyseal bone surrounding stem, full or stepped</Description><Size>XSMALL/SMALL/MED/LARGE/XL</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>357912</ARTG><ARTG>242592</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI516</BillingCode><Name>Trabecular Metal Femoral Cone </Name><Description>Trabecular Metal femoral void filling cone for distal metaphyseal bone surrounding stem</Description><Size>SMALL/MED/LARGE/XL</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>357912</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW575</BillingCode><Name>Triathlon Tritanium Symmetric Tibial Cone Augments</Name><Description>3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems</Description><Size>Symmetric Tibial Cone Augments, 5 sizes (A – E)</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>262263</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH063</BillingCode><Name>Regenerex Sleeve Augment</Name><Description>Augment, cone or finned sleeve, SSK/OSS Systems, Ti</Description><Size>(25mm to 40mm, Type A or B) x Extra small to Large</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>169733</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH684</BillingCode><PriorBillingCodes><PriorBillingCode>OO174</PriorBillingCode></PriorBillingCodes><Name>EPORE Cones/Components</Name><Description>Femoral/Tibial metaphyseal Cones and Components, 3D Printed titanium</Description><Size>Sizes 2-6 for Femur and Tibia, Left and Right</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>221737</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW233</BillingCode><Name>KRH (Kinemax Knee System Rotating Hinge) &amp; MRH (Modular Rotating Hinge) Rotating Hinge Sleeve</Name><Description>KRH &amp; MRH Rotating Hinge Tibial Sleeve, UHMWPE, (Duration) houses Rotating Hinge Tibial Rotating component sHydroxyapatiteft</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>247298</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV046</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Stem Extension Adapter</Description><Size>25mm - 50mm</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV051</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision Tibial Base Modular Keel</Description><Size>Small, Medium, Large</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>196521</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX029</BillingCode><Name>Opetrak Total Knee System Femoral Stem Extension Adpater</Name><Description>Femoral Stem Extension Adapter that provides for set changes in angulation of stem needs to be used on every occasion</Description><Size>2 - 7 Degree</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><ARTGs><ARTG>250092</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK005</BillingCode><PriorBillingCodes><PriorBillingCode>ER297</PriorBillingCode></PriorBillingCodes><Name>Spacer-K</Name><Description>Temporary implantable device for the treatment of infected total knee replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin</Description><Size>Small, Medium, Large</Size><SupplierCode>UK</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1401</GroupID><ARTGs><ARTG>155141</ARTG></ARTGs><MinimumBenefit>1814</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI003</BillingCode><PriorBillingCodes><PriorBillingCode>LH579</PriorBillingCode></PriorBillingCodes><Name>CP Stent</Name><Description>CP Stent Uncovered</Description><Size>16,22,28,34,39,&amp;45mm length</Size><SupplierCode>JI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>257</SubCategoryID><GroupID>1804</GroupID><ARTGs><ARTG>121892</ARTG></ARTGs><MinimumBenefit>1199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI002</BillingCode><PriorBillingCodes><PriorBillingCode>LH581</PriorBillingCode></PriorBillingCodes><Name>CP Stent</Name><Description>CP Stent Uncovered, mounted on BIB balloon</Description><Size>16,22,28,34,39,&amp;45mm length</Size><SupplierCode>JI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>257</SubCategoryID><GroupID>1804</GroupID><Suffix>Balloon- in-Balloon</Suffix><ARTGs><ARTG>121892</ARTG></ARTGs><MinimumBenefit>2124</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI004</BillingCode><PriorBillingCodes><PriorBillingCode>LH582</PriorBillingCode></PriorBillingCodes><Name>CP Stent</Name><Description>CP Stent Covered, mounted on BIB balloon</Description><Size>16,22,28,34,39,&amp;45mm length</Size><SupplierCode>JI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>257</SubCategoryID><GroupID>1805</GroupID><Suffix>Balloon-in-Balloon</Suffix><ARTGs><ARTG>121892</ARTG></ARTGs><MinimumBenefit>2923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI005</BillingCode><PriorBillingCodes><PriorBillingCode>LH580</PriorBillingCode></PriorBillingCodes><Name>CP Stent</Name><Description>CP Stent Covered</Description><Size>16,22,28,34,39,&amp;45mm length</Size><SupplierCode>JI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>257</SubCategoryID><GroupID>1805</GroupID><ARTGs><ARTG>121892</ARTG></ARTGs><MinimumBenefit>1998</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ159</BillingCode><Name>Medtronic Evolut FX transcatheter aortic valve</Name><Description>Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment including a loading system (L-EVOLUTFX-2329, L-EVOLUTFX-34) and a delivery catheter system (D-EVOLUTFX-2329, D-EVOLUTFX-34)</Description><Size>23mm-34mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>430190</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL063</BillingCode><Name>Edwards SAPIEN 3 Transcatheter Heart Valve</Name><Description>Transcatheter, balloon expanded aortic heart valve with Commander Delivery System</Description><Size>20mm, 23mm, 26mm and 29mm</Size><SupplierCode>EL</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>284496</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL067</BillingCode><Name>Edwards SAPIEN 3 Ultra Transcatheter Heart Valve System </Name><Description>The Edwards SAPIEN 3 Ultra Transcatheter Heart Valve (THV) system is an Aortic transcatheter heart valve bioprosthesis, with stent-like framework. It  consists of the Edwards SAPIEN 3 Ultra transcatheter heart valves and delivery systems. The Edwards SAPIEN 3 Ultra Valve is comprised of a balloon-expandable, radiopaque, cobalt-chromium frame, trileaflet bovine pericardial tissue valve, and polyethylene terephthalate inner and outer fabric skirts. </Description><Size> (mm) 20, 23, 26</Size><SupplierCode>EL</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>343715</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI259</BillingCode><Name>Medtronic CoreValve™ Evolut™ R transcatheter aortic valve</Name><Description>Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment</Description><Size>23mm-34mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>284003</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ394</BillingCode><Name>Portico transcatheter aortic valve</Name><Description>Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve</Description><Size>23-29</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>254835</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI315</BillingCode><Name>Medtronic CoreValve™ Evolut™ PRO transcatheter aortic valve</Name><Description>Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment</Description><Size>23mm-29mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>319850</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ482</BillingCode><Name>Navitor™ Transcatheter Aortic Valve</Name><Description>Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system</Description><Size>23-29</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>399973</ARTG><ARTG>410058</ARTG><ARTG>396571</ARTG></ARTGs><Note>The listed item [billing code] covers the Navitor System, containing Transcatheter Aortic Valve (cat. numbers NVTR-23, NVTR-25, NVTR-27, NVTR-29), FlexNav™ Delivery System (cat. numbers FNAV-DS-SM, FNAV-DS-LG) and Loading System (NVTR-LS-SM and NVTR-LS-LG), and the benefit is payable for the listed item if the Navitor System is used for the surgical procedure described in item 38495 in Group T8 of the Regulations.</Note><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ604</BillingCode><Name>Navitor Vision</Name><Description>Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system and loading system</Description><Size>23-29</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2641</GroupID><ARTGs><ARTG>410058</ARTG><ARTG>396571</ARTG><ARTG>449265</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ613</BillingCode><Name>Assert IQ</Name><Description>Insertable Cardiac Monitor</Description><Size>46.5mm x 9.4mm x 3.1mm and  49mm x 9.4mm x 4.4mm </Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><ARTGs><ARTG>451346</ARTG><ARTG>451347</ARTG><ARTG>451345</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ481</BillingCode><Name>Jot Dx</Name><Description>Insertable Cardiac Monitor - with integrated remote monitoring capability via the myMerlin smart device App, including accessories for insertion (an incision tool and an insertion tool)</Description><Size>49 x 9.4 x 3.1 mm  </Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><ARTGs><ARTG>401857</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>293</SubCategoryID><GroupID>2962</GroupID><ARTGs><ARTG>292930</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS417</BillingCode><Name>LUX-Dx™ </Name><Description>Insertable Cardiac Monitor</Description><Size>7.2 mm x 44.8 mm x 4.0 mm, 1.2 cm3</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><ARTGs><ARTG>411051</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ621</BillingCode><Name>BIOMONITOR IV</Name><Description>Injectable cardiac monitor for continuous remote monitoring of patients </Description><Size>Dimensions (WxHxL) (overall) 77.5 mm x 8.6 mm x 4.6 mm Weight 4 g Volume (overall) 1.9 cm3</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><Suffix>i</Suffix><ARTGs><ARTG>445773</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI438</BillingCode><Name>Reveal LINQ II™</Name><Description>Insertable Cardiac Monitor</Description><Size>45.1 mm x 8mm x 4.2mm, 1.4cc</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><Suffix>i</Suffix><ARTGs><ARTG>391830</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI141</BillingCode><Name>Reveal LINQ</Name><Description>Insertable Cardiac Monitor</Description><Size>44.8 mm x 7.2 mm x 4.0 mm,1.2 cm3</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><Suffix>i</Suffix><ARTGs><ARTG>391831</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>293</SubCategoryID><GroupID>2962</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396023</ARTG></ARTGs><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ236</BillingCode><Name>Prevail DCB</Name><Description>Paclitaxel-Coated PTCA Balloon Catheter
</Description><Size>Length (mm): 10-30; Diameter (mm): 2-4</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>297</SubCategoryID><GroupID>2970</GroupID><ARTGs><ARTG>427408</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB409</BillingCode><Name>SeQuent Please/SeQuent Please NEO</Name><Description>Drug eluting balloon catheter for percutaneous transluminal coronary angioplasty (PTCA)</Description><Size>SeQuent Please:  Diameter (mm) 2.0 to 4.0  Length (mm) 10.0 to 30.0      SeQuent Please NEO:  Diameter (mm) 2.0 to 4.0  Length (mm) 10.0 to 40.0  </Size><SupplierCode>BB</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>297</SubCategoryID><GroupID>2970</GroupID><ARTGs><ARTG>181392</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS419</BillingCode><Name>Agent Paclitaxel-Coated Balloon Catheter</Name><Description>Coronary angioplasty balloon catheter, drug-eluting</Description><Size>Length (mm) 8-30; Diameter (mm) 2.00-4.00</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>297</SubCategoryID><GroupID>2970</GroupID><ARTGs><ARTG>385816</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT256</BillingCode><Name>Pantera Lux</Name><Description>Coronary Drug-Coated Balloon Catheter</Description><Size>Diameter (mm) - 2.0 to 4.0  Length (mm) -10 to 30</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>297</SubCategoryID><GroupID>2970</GroupID><ARTGs><ARTG>422261</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF018</BillingCode><PriorBillingCodes><PriorBillingCode>SA173</PriorBillingCode></PriorBillingCodes><Name>Smartview Remote Monitoring Solution</Name><Description>The Smartview PSTN monitor and Smartview Monitor GPRS - Pacemaker programmer is designed to allow physicians and nurses following patients with a Sorin PARADYMTM RF or INTENSIA family of ICD and CRT-D devices to access valuable cardiac data and alert messages from the device while the patient is at home.</Description><Size>Single Device Product</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>217759</ARTG><ARTG>217760</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>230414</ARTG><ARTG>201875</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF033</BillingCode><Name>Smart Monitor</Name><Description>Monitoring Device for Smartview Remote Monitoring System</Description><Size>One size only</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>350770</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ154</BillingCode><Name>LUX-Dx Mobile Monitor</Name><Description>Mobile applications for patient monitoring and remote programming that run on a handheld mobile/smart device. LUX-Dx Clinic Assistant application is for healthcare professionals while myLUX patient application is intended for patients to interact with the system and
their clinic and stay connected. The applications communicate with the LUX-Dx ICM via Bluetooth Low Energy (BLE) and the LATITUDE Server via cellular or Wi-Fi for collection and transmission of event, patient, and device data.</Description><Size>One size</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>20001</GroupID><ARTGs><ARTG>413400</ARTG></ARTGs><MinimumBenefit>502</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ144</BillingCode><Name>Aurora EV-ICD MRI SureScan System </Name><Description>The Aurora EV-ICD System comprises the Aurora EV-ICD MRI SureScan Model DVEA3E4 single chamber, implantable cardioverter defibrillator (and torque wrench) and the Epsila EV MRI SureScan Model EV2401 extravascular lead .</Description><Size>Generator: 33cm3 77g , Leads: lengths 52 cm and 63 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>20000</GroupID><ARTGs><ARTG>450443</ARTG><ARTG>450444</ARTG></ARTGs><MinimumBenefit>28398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI410</BillingCode><Name>Cobalt™ XT VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392254</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI412</BillingCode><Name>Crome™ VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392256</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI411</BillingCode><Name>Cobalt™ VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392255</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI384</BillingCode><Name>Crome™ VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>392265</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ318</BillingCode><Name>Fortify Assura VR CD1359-40Q/CD1359-40QC</Name><Description>Single Chamber Cardioverter Defibrillator</Description><Size>75g, 35cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>207196</ARTG><ARTG>207188</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI258</BillingCode><Name>Evera MRI S VR ICD</Name><Description>Single chamber implantable cardioverter defibrillators with SureScan MRI Technology</Description><Size>33cm3 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>392914</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI254</BillingCode><Name>VISIA AF S MRI ICD</Name><Description>Single Chamber, MRI compatible, Implantable Cardioverter Defibrillator with AF detection and diagnosis, PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF4</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>393251</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI388</BillingCode><Name>Cobalt™ VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>392259</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI257</BillingCode><Name>Evera MRI XT VR ICD</Name><Description>Single chamber implantable cardioverter defibrillators with SureScan MRI Technology</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>393520</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ332</BillingCode><Name>Ellipse VR CD1377-36QC</Name><Description>Single Chamber Cardioverter Defibrillator with 36 J delivered energy</Description><Size>67g, 30cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>401132</ARTG><ARTG>207184</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI393</BillingCode><Name>Cobalt™ XT VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF4</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>392264</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI253</BillingCode><Name>VISIA AF XT MRI ICD</Name><Description>Single Chamber, MRI compatible, Implantable Cardioverter Defibrillator with AF detection and diagnosis, PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF4</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>393250</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT226</BillingCode><Name>Rivacor 7 VR-T DX</Name><Description>Single Chamber ICD, ventricular capture control, physiological rate adaption, additional atrial detection (DX),automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, ComfortDesign DF4, IS-1 connector</Description><Size>66.5mm x 60mm x 10mm, 32cm3, 77grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>396258</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT239</BillingCode><Name>Rivacor 7 VR-T</Name><Description>Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI Conditional and AutoDetect, ComfortDesign, DF4, IS-1 connector</Description><Size>W x H x D (mm) 61.5 x 60 x 10, Volume: 30cc, Mass: 75g</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>396233</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF004</BillingCode><PriorBillingCodes><PriorBillingCode>SA178</PriorBillingCode></PriorBillingCodes><Name>Platinium VR 1240</Name><Description>PLATINIUM VR 1240 is an implantable single-chamber cardioverter defibrillator. It is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM VR is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home, wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. PLATINIUM VR provides high energy shocks (42 J) for enhanced safety, as well as automatic lead measurements to monitor system integrity. PLATINIUM VR is protected against high-frequency signals emitted by cellular telephones. The PLATINIUM VR can serve as a defibrillation electrode (active housing) with a total surface area of 63 cm2.
The PLATINIUM VR is designed to recognize and treat slow or fast VT and VF by continuously monitoring ventricular activity to identify persistent ventricular arrhythmias and to deliver appropriate therapies. PLATINIUM VR features DISCRIMINATION algorithm, which is specifically designed to differentiate ventricular tachycardias from fast rhythms of supraventricular origin. DISCRIMINATION continuously monitors R-R interval stability, searches for long cycles and evaluates sudden onset.</Description><Size>Dimensions 65.8 x 54.3 x 11.1 mm
Weight 84 g
Volume 31.2 cm3
Active surface area of casing 62.9cm2
Connector DF4.</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>282816</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS276</BillingCode><Name>AUTOGEN ICD VR DF-4</Name><Description>Single Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector</Description><Size>26.5cc - 29.5cc, 60.0g - 68.9g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>400122</ARTG><ARTG>400181</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF049</BillingCode><Name>Ulys™ VR 2240 </Name><Description>MRI Conditional Single Chamber Cardioverter Defibrillator</Description><Size>Weight - 84g  Volume - 31.2 cc  </Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>400118</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ199</BillingCode><Name>NEUTRINO NxT VR ICD Model CDVRA600Q</Name><Description>Single Chamber Cardioverter Defibrillator    </Description><Size>30cc, 69g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>394064</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ417</BillingCode><Name>Gallant VR ICD Model CDVRA500Q</Name><Description>Single Chamber Cardioverter Defibrillator    </Description><Size>30cc, 69g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>395510</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI407</BillingCode><Name>Cobalt™ XT VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF4</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392264</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI409</BillingCode><Name>Crome™ VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392265</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI408</BillingCode><Name>Cobalt™ VR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>32.8 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392259</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>25817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT230</BillingCode><Name>Intica Neo 7 VR-T DX</Name><Description>Single Chamber ICD, ventricular capture control, physiological rate adaption, additional atrial detection (DX),automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector</Description><Size>65mm x 55mm x 11mm, 33cm3, 82grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>396018</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT229</BillingCode><Name>Intica Neo 7 VR-T</Name><Description>Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector</Description><Size>W x H x D (mm) 65 x 55 x 11, Volume: 33cc, Mass: 82g</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>396014</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS278</BillingCode><Name>AUTOGEN ICD VR DF-1</Name><Description>Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector</Description><Size>28.5cc -31.5cc, 61.9g - 70.7g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>400437</ARTG><ARTG>400123</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF052</BillingCode><Name>ULYS™  VR 2210 </Name><Description>Single chamber implantable cardioverter defibrillator</Description><Size>Weight - 85g  Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>400117</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI255</BillingCode><Name>VISIA AF XT ICDs/ VISIA AF MRI XT SureScan ICDs</Name><Description>Digital single chamber implantable cardioverter defibrillator. PhysioCurve™ Design, SmartShock™ Technology, OptiVol™ 2.0 Fluid Status Monitoring, Complete Capture Management™ Diagnostic (RVCM), AF Diagnostics including SureScan/ MRI models</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>393270</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ631</BillingCode><Name>Talentia VR 3210</Name><Description>Single chamber implantable cardioverter defibrillator</Description><Size>Weight - 85g Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>443130</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ326</BillingCode><Name>Ellipse VR CD1377-36/CD1377-36C</Name><Description>Single Chamber Cardioverter Defribrillator</Description><Size>31cc, 66g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>207181</ARTG><ARTG>207183</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI394</BillingCode><Name>Cobalt™ XT VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>392254</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS338</BillingCode><Name>RESONATE EL VR DF-4</Name><Description>Single Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector. ENDURALIFE Battery Technology and IMAGEREADY MR-Conditional</Description><Size>29.5cc, 68.9g, 5.37 x 7.36 x 0.99 (cm)</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>399063</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI112</BillingCode><Name>Evera XT VR DF1/ Evera MRI XT VR SureScan DF1</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, Optimised Battery Chemistry, SmartShock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF1</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>393381</ARTG><ARTG>392334</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF001</BillingCode><PriorBillingCodes><PriorBillingCode>SA176</PriorBillingCode></PriorBillingCodes><Name>Platinium VR 1210</Name><Description>PLATINIUM VR  is an implantable single-chamber cardioverter defibrillator. It is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM VR is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home, wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. PLATINIUM VR provides high energy shocks (42 J) for enhanced safety, as well as automatic lead measurements to monitor system integrity. PLATINIUM VR is protected against high-frequency signals emitted by cellular telephones. The PLATINIUM VR ICD device and programming system. The programming system includes the Sorin dedicated programmer with the SMARTVIEW programming software connected to a CPR3 programming head. The programming system is configured and furnished by Sorin. The PLATINIUM VR can serve as a defibrillation electrode (active housing) with a total surface area of 63 cm2. PLATINIUM VR 1210 has two DF-1 and one IS-1 connector ports. The PLATINIUM VR is designed to recognize and treat slow or fast VT and VF by continuously monitoring ventricular activity to identify persistent ventricular arrhythmias and to deliver appropriate therapies. PLATINIUM VR features DISCRIMINATION algorithm.</Description><Size>Dimensions 73 x 54.3 x 11.1mm
Weight 85 g
Volume 33 cm3
Active surface area of casing 62.7cm2
Connector IS-1 bipolar, 2*DF-1.</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>282817</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS340</BillingCode><Name>MOMENTUM EL VR DF-1</Name><Description>Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector. ENDURALIFE Battery Technology</Description><Size>29.5cc, 68.9g, 5.37 x 7.79 x 0.99 cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>399064</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI386</BillingCode><Name>Cobalt™ VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>392255</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI114</BillingCode><Name>Evera MRI S VR SureScan DF1</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF1</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>393538</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI256</BillingCode><Name>VISIA AF S ICDs/ VISIA AF MRI S SureScan ICDs</Name><Description>Digital single chamber implantable cardioverter defibrillator. PhysioCurve™ Design, SmartShock™ Technology, OptiVol™ 2.0 Fluid Status Monitoring, Complete Capture Management™ Diagnostic (RVCM), AF Diagnostics including SureScan/ MRI models</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>393380</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI385</BillingCode><Name>Crome™ VR ICD MRI SureScan™</Name><Description>Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.2 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>392256</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ651</BillingCode><Name>Talentia VR 3240-DF4</Name><Description>Single chamber implantable cardioverter defibrillator.</Description><Size>Weight - 84g Volume - 31.2 cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d, e</Suffix><ARTGs><ARTG>443133</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ333</BillingCode><Name>Fortify Assura VR CD1359-40/CD1359-40C</Name><Description>Single Chamber Cardioverter Defibrillator with 40J delivered energy</Description><Size>76g , 35cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1723</GroupID><Suffix>a, d</Suffix><ARTGs><ARTG>207195</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS329</BillingCode><Name>Emblem MRI S-ICD Pulse Generator System</Name><Description>Subcutaneous Implantable Cardioverter Defibrillator, Subcutaneous Electrode, Subcutaneous Electrode Insertion Tool, with AF Monitor, SMART Pass and MRI Conditional</Description><Size>59.5cc: (W) 83.1mm x (H) 69.1mm x (D)12.7mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>236</SubCategoryID><GroupID>1812</GroupID><ARTGs><ARTG>291908</ARTG><ARTG>399599</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>28398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI413</BillingCode><Name>Crome™ DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392253</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>27612</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ200</BillingCode><Name>Neutrino NxT DR ICD Model CDDRA600Q</Name><Description>Dual Chamber Cardioverter Defibrillator</Description><Size>31cc, 71g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>394112</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>28069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ418</BillingCode><Name>Gallant DR ICD Model CDDRA500Q</Name><Description>Dual Chamber Cardioverter Defibrillator</Description><Size>31cc, 71g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>395511</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>28069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ655</BillingCode><Name>Talentia DR 3540 </Name><Description>Dual Chamber Cardioverter Defibrillator</Description><Size>Weight - 86g Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>443134</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ325</BillingCode><Name>Fortify Assura DR CD2359-40Q/CD2359-40QC</Name><Description>Dual Chamber Cardioverter Defibrillator with 40J delivered energy</Description><Size>75g, 35cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>207192</ARTG><ARTG>207194</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ331</BillingCode><Name>Ellipse DR CD2377-36Q/CD2377-36QC</Name><Description>Dual Chamber Cardioverter Defibrillator with 36J delivered energy</Description><Size>68g, 31cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>207187</ARTG><ARTG>207185</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS339</BillingCode><Name>RESONATE EL DR DF-4</Name><Description>Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector. ENDURALIFE Battery Technology and IMAGEREADY MR-Conditional</Description><Size>71.4g, 31.0cc, 5.37 x 7.68 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>399570</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF051</BillingCode><Name>Ulys™ DR 2540</Name><Description>MRI compatible dual chamber cardioverter defibrillator with DF-4 connector.</Description><Size>Weight - 86g  Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>400135</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS277</BillingCode><Name>AUTOGEN ICD DR DF-4</Name><Description>Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector</Description><Size>28.0cc - 31.0cc, 62.5g - 71.4g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>400130</ARTG><ARTG>400259</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF005</BillingCode><PriorBillingCodes><PriorBillingCode>SA181</PriorBillingCode></PriorBillingCodes><Name>Platinium DR 1540</Name><Description>PLATINIUM DR is an implantable dual-chamber cardioverter defibrillator. It is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM DR is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home, wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. PLATINIUM DR provides high energy shocks (42 J) for enhanced safety, as well as automatic lead measurements to monitor system integrity.The PLATINIUM DR can serve as a defibrillation electrode (active housing) with a total surface area of 63 cm². The PLATINIUM DR is designed to recognize and treat slow or fast VT and VF by continuously monitoring atrial and ventricular activity to identify persistent ventricular arrhythmias and to deliver appropriate therapies. PLATINIUM DR features the PARAD/PARAD+ algorithm, which is specifically designed to differentiate ventricular tachycardias from fast rhythms of supraventricular origin. PARAD/PARAD+ continuously monitors R-R interval stability, searches for long cycles, assesses the degree of P-R association, evaluates sudden onset and determines the chamber of arrhythmia acceleration. In addition to the advanced detection scheme, PLATINIUM DR offers programmable dual or single-chamber pacing</Description><Size>Dimensions 72.3 x 54.3 x 11.1 mm
Weight 86 g
Volume 33 cm3
Active surface area of casing 62.8cm2
Connector Atrium: IS-1 bipolar. Ventricle: DF4.</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>282819</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT227</BillingCode><Name>Rivacor 7 DR-T</Name><Description>Dual Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, ComfortDesign DF4, IS-1 connector</Description><Size>66.5mm x 60mm x 10mm, 32cm3, 77grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>396045</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI116</BillingCode><Name>Evera MRI XT DR SureScan IS1/DF1</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. DF1</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>393537</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI118</BillingCode><Name>Evera MRI S DR SureScan IS1/DF1</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF1</Description><Size>33cm³ 77g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>393536</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI392</BillingCode><Name>Cobalt™ XT DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392251</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI383</BillingCode><Name>Crome™ DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392253</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI382</BillingCode><Name>Cobalt™ DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392252</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI379</BillingCode><Name>Cobalt™ XT DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF4</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392257</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI251</BillingCode><Name>Evera MRI XT DR ICD</Name><Description>Dual chamber implantable cardioverter defibrillator with SureScan MRI Technology</Description><Size>34cm3 78g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>393519</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI380</BillingCode><Name>Cobalt™ DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392261</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI381</BillingCode><Name>Crome™ DR ICD MRI SureScan™</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392262</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI406</BillingCode><Name>Cobalt™ DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392252</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>27612</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI252</BillingCode><Name>Evera MRI S DR ICD</Name><Description>Dual chamber implantable cardioverter defibrillator with SureScan MRI Technology</Description><Size>34cm3 78g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392893</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS279</BillingCode><Name>AUTOGEN ICD DR DF-1</Name><Description>Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector</Description><Size>28.5cc - 31.5cc, 62.3g - 71g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>400129</ARTG><ARTG>400131</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF002</BillingCode><PriorBillingCodes><PriorBillingCode>SA183</PriorBillingCode></PriorBillingCodes><Name>Platinium DR 1510</Name><Description>PLATINIUM DR 1510 is an implantable dual-chamber cardioverter defibrillator. It is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM DR 1510 is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home and wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. The PLATINIUM DR 1510 is designed to recognize and treat slow or fast VT and VF by continuously monitoring atrial and ventricular activity to identify persistent ventricular arrhythmias and to deliver appropriate therapies. PLATINIUM DR 1510 features the PARAD/PARAD+ algorithm, which is specifically designed to differentiate ventricular tachycardias from fast rhythms of supraventricular origin. PARAD/PARAD+ continuously monitors R-R interval stability, searches for long cycles, assesses the degree of P-R association, evaluates sudden onset and determines the chamber of arrhythmia acceleration.</Description><Size>Dimensions 73 x 54.3 x 11.1 mm
Weight 86 g
Volume 33 cm3 
Active surface area of casing 62.7cm2
Connector Atrium: IS-1 bipolar. Ventricle: IS-1 bipolar, 2*DF-1.</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>282818</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF045</BillingCode><Name>Ulys™ DR 2510</Name><Description>Dual chamber implantable cardioverter defibrilator</Description><Size>Weight: 86g  Volume: 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>400134</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS341</BillingCode><Name>MOMENTUM EL DR DF-1</Name><Description>Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector. ENDURALIFE Battery Technology</Description><Size>31.5cc, 71.0g, 5.37 x 7.79 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>399571</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT231</BillingCode><Name>Intica Neo 7 DR-T</Name><Description>Dual Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector</Description><Size>65mm x 55mm x 11mm, 33cm3, 82grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>396265</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ324</BillingCode><Name>Fortify Assura DR CD2359-40C</Name><Description>Dual Chamber Cardioverter   Defibrillator</Description><Size>75g, 35cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>207193</ARTG><ARTG>401133</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ327</BillingCode><Name>Ellipse DR CD2377-36/CD2377-36C</Name><Description>Dual Chamber ICD</Description><Size>66g, 31cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>207186</ARTG><ARTG>207189</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI404</BillingCode><Name>Crome™ DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392262</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>28069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI402</BillingCode><Name>Cobalt™ XT DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392257</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>28069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI405</BillingCode><Name>Cobalt™ XT DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>33.1 cm3, 79 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392251</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>27612</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI403</BillingCode><Name>Cobalt™ DR ICD MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>33.7 cm3, 80 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392261</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>28069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ632</BillingCode><Name>Talentia 3510 DR</Name><Description>Dual chamber implantable cardioverter defibrillator</Description><Size>Weight: 86g  Volume: 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>237</SubCategoryID><GroupID>1725</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>443131</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI200</BillingCode><Name>Claria Quad MRI CRT-D</Name><Description>Digital implantable cardioverter defibrillator with cardiac resynchronisation therapy and SureScan™ Technology</Description><Size>35cm3 81g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>393252</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ329</BillingCode><Name>Unify Assura CD3361-40Q/CD3361-40QC</Name><Description>Cardiac Resynchronisation Therapy Cardioverter Defibrillator</Description><Size>77g, 36cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>207198</ARTG><ARTG>207190</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI206</BillingCode><Name>Amplia MRI Quad CRT-D</Name><Description>ICD with CRT. MRI compatible, PhysioCurve Design, CardioSync Optimisation, VectorExpress, V Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0. Complete Capture management. Quad DF4.</Description><Size>35cm3 81g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>393374</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI210</BillingCode><Name>Claria MRI CRT-D</Name><Description>Digital implantable cardioverter defibrillator with cardiac resynchronisation therapy and SureScan™ Technology</Description><Size>35cm3 80g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>393376</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI109</BillingCode><Name>VIVA QUAD XT CRT-D IS4/DF4</Name><Description>ICD with CRT. PhysioCurve Design, AdaptivCRT Algorithm, CardioSync Optimisation, VextorExpress, LV Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. IS4 DF4</Description><Size>35cm³ 81g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>392333</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI235</BillingCode><Name>Amplia MRI CRT-D SureScan IS1/DF1</Name><Description>Digital implantable cardioverter defibrillator with cardiac resynchronization therapy and SureScan™ Technology (DDE-DDDR), DF1</Description><Size>35cm3 80g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>393377</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ321</BillingCode><Name>Quadra Assura MP CD3371-40Q/CD3371-40QC</Name><Description>Cardiac Resynchronisation Therapy Defibrillator</Description><Size>80gm, 38cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>207158</ARTG><ARTG>207156</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI378</BillingCode><Name>Crome™ HF CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>35 cm3, 82 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392418</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS285</BillingCode><Name>AUTOGEN X4 CRT-D DF-4</Name><Description>ICD with cardiac resynchronization therapy.</Description><Size>32.5cc, 73.8g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>400264</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS342</BillingCode><Name>RESONATE X4 CRT-D DF-4</Name><Description>High energy CRT-D with DF-4 RV connector &amp; lS4 LV connector. SmartCRT, Heart Failure Sensor Suite, ENDURALIFE Battery Technology, IMAGEREADY MR-Conditional</Description><Size>32.5cc, 73.8g, 5.37 x 8.18 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>399058</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF048</BillingCode><Name>Gali™ SonR CRT-D 2841</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and DF4 connector</Description><Size>Weight - 87g  Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>400139</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF020</BillingCode><Name>Platinium 4LV CRT-D 1744</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and remote monitoring</Description><Size>78.1 X 54.3 X 11.1 mm  91g  33.7cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>321362</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF046</BillingCode><Name>Gali™ 4LV SonR CRT-D 2844</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and DF4 connector</Description><Size>Weight- 91g  Volume - 33.7cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>400140</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF008</BillingCode><PriorBillingCodes><PriorBillingCode>SA180</PriorBillingCode></PriorBillingCodes><Name>Platinium CRT-D 1741</Name><Description>PLATINIUM CRT-D 1741 is an implantable cardioverter defibrillator for the recognition and treatment of ventricular tachycardia and fibrillation, with ventricular resynchronization, in patients with spontaneous or inducible tachyarrhythmias. PLATINIUM CRT-D 1741 is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM CRT-D 1741 is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home and wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory.
PLATINIUM CRT-D 1741 provides a range of therapeutic and diagnostic functions including high energy shocks,  atrial tachyarrhythmia prevention, automatic lead measurements, and advanced diagnostic functions. PLATINIUM CRT-D is protected against high-frequency signals emitted by cellular telephones.</Description><Size>Dimensions 72.3 x 54.3 x 11.1 mm
Weight 87 g
Volume 33 cm3
Active surface area of casing 62.8cm2
Connector Atrium: IS-1 bipolar. Right ventricle: DF4. Left ventricle: IS-1
bipolar (unipolar compatible).</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>282821</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS284</BillingCode><Name>AUTOGEN CRT-D DF-4</Name><Description>ICD with cardiac resynchronization therapy. PaceSafe RV, RA, and LV auto threshold.</Description><Size>32.5cc, 73.6g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>398271</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF019</BillingCode><Name>Platinium 4LV SonR CRT-D 1844</Name><Description>Implantable cardioverter defibrillator with remote monitoring, cardiac resynchronisation therapy and SonR optimisation.</Description><Size>78.1 X 54.3 X 11.1 mm  33.7cc  91g</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>321363</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS344</BillingCode><Name>MOMENTUM CRT-D DF-4</Name><Description>High energy CRT-D with DF-4 RV connector &amp; IS-1 LV connector. SmartCRT, Heart Failure Sensor Suite, ENDURALIFE Battery Technology</Description><Size>32.5cc, 73.6g, 5.37 x 8.18 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>399059</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI391</BillingCode><Name>Crome™ HF Quad CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392421</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI376</BillingCode><Name>Cobalt™ HF Quad CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392420</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI390</BillingCode><Name>Cobalt™ XT HF CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>35 cm3, 82g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392240</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI377</BillingCode><Name>Cobalt™ HF CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>35 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392417</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI232</BillingCode><Name>Claria MRI CRT-D SureScan</Name><Description>Digital implantable cardioverter defibrillator with cardiac resynchronisation therapy and SureScanTM technology</Description><Size>35cm3 80g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>393378</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI372</BillingCode><Name>Cobalt™ XT HF Quad CRT-D MRI SureScan™ </Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d</Suffix><ARTGs><ARTG>392419</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI205</BillingCode><Name>Amplia MRI CRT-D</Name><Description>ICD with CRT. MRI compatible, PhysioCurve Design, CardioSync Optimisation, VectorExpress, V Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0. Complete Capture management. DF4.</Description><Size>35cm3 80g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>393375</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ164</BillingCode><Name>Neutrino NxT HF CRT-D Model CDHFA600Q</Name><Description>Cardiac Resynchronisation Therapy Defibrillator  </Description><Size>34cc, 81g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>394114</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ424</BillingCode><Name>Gallant HF CRT-D Model CDHFA500Q</Name><Description>Cardiac Resynchronisation Therapy Defibrillator  </Description><Size>34cc, 81g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>341252</ARTG><ARTG>395512</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT232</BillingCode><Name>Intica Neo 7 HF-T</Name><Description>Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector</Description><Size>65mm x 58.5mm x 11mm, 34cm3, 83grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>396008</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT233</BillingCode><Name>Intica Neo 7 HF-T QP</Name><Description>Triple  Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, LV Multipolar pacing, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1,IS-1, IS4 quadripolar connectors</Description><Size>65mm x 60.5mm x 11mm, 36cm3, 86grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>396009</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS286</BillingCode><Name>AUTOGEN CRT-D DF-1</Name><Description>High energy CRT-D with DF-1 RV connector &amp; lS-1 (G173) or LV-1 (G175) LV connector. PaceSafe RV, RA, and LV auto threshold.</Description><Size>32.0cc, 72.8g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>400119</ARTG><ARTG>400120</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF006</BillingCode><PriorBillingCodes><PriorBillingCode>SA177</PriorBillingCode></PriorBillingCodes><Name>Platinium CRT-D 1711</Name><Description>PLATINIUM CRT-D is an implantable cardioverter defibrillator for the recognition and treatment of ventricular tachycardia and fibrillation, with ventricular resynchronization, in patients with spontaneous or inducible tachyarrhythmias. PLATINIUM CRT-D is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity. PLATINIUM CRT-D is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home and wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory.
PLATINIUM CRT-D provides a range of therapeutic and diagnostic functions including high energy shocks,  atrial tachyarrhythmia prevention, automatic lead measurements, and advanced diagnostic functions.
PLATINIUM CRT-D is protected against high-frequency signals emitted by cellular telephones.</Description><Size>Dimensions 73 x 54.3 x 11.1 mm
Weight 86 g
Volume 33 cm3
Active surface area of casing 62.7cm2
Connector Atrium: IS-1 bipolar. Right ventricle: IS-1 bipolar, 2*DF-1. Left
ventricle: IS-1 bipolar (unipolar compatible).</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>282820</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI230</BillingCode><Name>Claria MRI Quad CRT-D SureScan</Name><Description>Digital implantable cardioverter defibrillator with cardiac resynchronization therapy and SureScan™ Technology (DDE-DDDR), DF1</Description><Size>36 cm3 82 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>393379</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ320</BillingCode><Name>Unify Assura CD3361-40/CD3361-40C</Name><Description>Cardiac Resynchronisation Therapy Cardioverter Defibrillator</Description><Size>78g, 36cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>207199</ARTG><ARTG>207200</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ319</BillingCode><Name>Quadra Assura MP CD3371-40/CD3371/40C</Name><Description>Cardiac Resynchronisation Therapy Cardioverter Defibrillator</Description><Size>83g, 40cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>207163</ARTG><ARTG>207157</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS345</BillingCode><Name>MOMENTUM CRT-D DF-1</Name><Description>High energy CRT-D with DF-1 RV connector &amp; lS-1/LV-1 LV connector. SmartCRT, Heart Failure Sensor Suite, ENDURALIFE Battery Technology</Description><Size>32cc, 72.8-72.9g, 5.37 x 8.08 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>399061</ARTG><ARTG>399060</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS287</BillingCode><Name>AUTOGEN X4 CRT-D DF-1</Name><Description>High energy CRT-D with DF-1 RV connector &amp; lS4 LV connector</Description><Size>32.0cc, 73.4g, 9.9mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>400121</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI374</BillingCode><Name>Crome™ HF Quad CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392239</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI371</BillingCode><Name>Cobalt™ XT HF CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4</Description><Size>35 cm3, 82.1 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392422</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI375</BillingCode><Name>Crome™ HF CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4</Description><Size>35 cm3, 82.1 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392274</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI373</BillingCode><Name>Cobalt™ HF CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4</Description><Size>35 cm3, 82.1g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392273</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ652</BillingCode><Name>Talentia 4LV SonR CRT-D 3844</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and DF4 connector</Description><Size>Weight- 91g Volume - 33.7cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>443136</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI389</BillingCode><Name>Cobalt™ HF Quad CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392242</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF003</BillingCode><PriorBillingCodes><PriorBillingCode>SA182</PriorBillingCode></PriorBillingCodes><Name>Platinium CRT-D SonR 1811</Name><Description>PLATINIUM SonR CRT-D is an implantable cardioverter defibrillator for the recognition and treatment of ventricular tachycardia and fibrillation, with ventricular resynchronization, in patients with spontaneous or inducible tachyarrhythmias. PLATINIUM SonR CRT-D is equipped with an accelerometer to allow adaptation of pacing to suit the patient’s activity.
PLATINIUM SonR CRT-D is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home, and wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. If used in conjunction with a dedicated atrial lead featuring the SonR sensor, PLATINIUM SonR CRT-D can analyze micro-accelerations of the heart walls to derive information pertaining to cardiac contractility. The signal picked-up by the SonR sensor can be processed by PLATINIUM SonR CRT-D in order to automatically adjust AV and VV delays for optimal resynchronization therapy. PLATINIUM SonR CRT-D provides a range of therapeutic and diagnostic functions:
─ high energy shocks
─ atrial tachyarrhythmia prevention
─ automatic lead measurements
─ advanced diagnostic functions
─ automatic AV and VV delay optimization
PLATINIUM SonR CRT-D is protected against high-frequency signals emitted by cellular telephones.</Description><Size>1811 MODEL:
Dimensions 73 x 54.3 x 11.1 mm
Weight 86 g
Volume 33 cm3
Active surface area of casing 62.7cm2
Connector Atrium: SonR (IS-1 bipolar compatible). Right ventricle: IS-1
bipolar, 2*DF-1. Left ventricle: IS-1 bipolar (unipolar compatible).</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>282822</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ657</BillingCode><Name>Talentia SonR CRT-D 3811</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and SonR
optimisation.</Description><Size>Weight - 86g Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>443132</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF050</BillingCode><Name>Gali™SonR CRT-D 2811</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and SonR optimisation</Description><Size>Weight - 86g  Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>400141</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS343</BillingCode><Name>MOMENTUM X4 CRT-D DF-1</Name><Description>High energy CRT-D with DF-1 RV connector &amp; lS4 LV connector. ENDURALIFE Battery Technology</Description><Size>32cc, 73.4g, 5.37 x 8.08 x 0.99cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d</Suffix><ARTGs><ARTG>399592</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI370</BillingCode><Name>Cobalt™ XT HF Quad CRT-D MRI SureScan™</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e</Suffix><ARTGs><ARTG>392241</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF007</BillingCode><PriorBillingCodes><PriorBillingCode>SA179</PriorBillingCode></PriorBillingCodes><Name>Platinium CRT-D SonR 1841 DF4</Name><Description>PLATINIUM SonR CRT-D is an implantable cardioverter defibrillator for the recognition and treatment of ventricular tachycardia and fibrillation, with ventricular resynchronization, in patients with spontaneous or inducible tachyarrhythmias. PLATINIUM SonR CRT-D is equipped with an  accelerometer to allow adaptation of pacing to suit the patient’s activity.
PLATINIUM SonR CRT-D is also equipped with the RF wireless technology which enables remote monitoring of patients who have the Sorin SMARTVIEW Monitor installed at home, wireless interrogation and device programming by Orchestra Plus programmer equipped with ORCHESTRA PLUS LINK accessory. If used in conjunction with a dedicated atrial lead featuring the SonR sensor, PLATINIUM SonR CRT-D can analyze micro-accelerations of the heart walls to derive information pertaining to cardiac contractility. The signal picked-up by the SonR sensor can be processed by PLATINIUM SonR CRT-D in order to automatically adjust AV and VV delays for optimal resynchronization therapy. PLATINIUM SonR CRT-D provides a range of therapeutic and diagnostic functions:
─ high energy shocks
─ atrial tachyarrhythmia prevention
─ automatic lead measurements
─ advanced diagnostic functions
─ automatic AV and VV delay optimization
PLATINIUM SonR CRT-D is protected against high-frequency signals emitted by cellular telephones.</Description><Size>1841 MODEL:
Dimensions 72.3 x 54.3 x 11.1 mm
Weight 87 g
Volume 33 cm3
Active surface area of casing 62.8cm2
Connector Atrium: SonR (IS-1 bipolar compatible). Right ventricle: DF4.
Left ventricle: IS-1 bipolar (unipolar compatible).</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>282823</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT240</BillingCode><Name>Rivacor 7 HF-T QP</Name><Description>Triple  Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, LV Multipole pacing, Home Monitoring w/ Quickcheck, MRI conditional and AutoDetect, ComfortDesign, DF4,IS-1, IS-4 quadripolar connector,</Description><Size>75mm x 60mm x 10mm, 35cm3, 82grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>396013</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT228</BillingCode><Name>Rivacor 7 HF-T</Name><Description>Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional and AutoDetect, ComfortDesign DF4, IS-1 connector</Description><Size>71.5mm x 60mm x 10 mm, 33cm3, 78grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>396012</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI419</BillingCode><Name>Crome™ HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392418</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI417</BillingCode><Name>Cobalt™ HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392417</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI424</BillingCode><Name>Cobalt™ XT HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392419</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI418</BillingCode><Name>Crome™ HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392421</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI425</BillingCode><Name>Cobalt™ XT HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392240</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI416</BillingCode><Name>Cobalt™ HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, DF1 with BlueSync mobile remote monitoring</Description><Size>36.3 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d Remote Monitoring Service</Suffix><ARTGs><ARTG>392420</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI422</BillingCode><Name>Crome™ HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4 with BlueSync mobile remote monitoring</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392239</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI420</BillingCode><Name>Cobalt™ XT HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4 with BlueSync mobile remote monitoring</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392241</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI421</BillingCode><Name>Cobalt™ XT HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0+ Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82.1 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392422</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI423</BillingCode><Name>Crome™ HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82.1 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392274</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI427</BillingCode><Name>Cobalt™ HF CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, Complete Capture Management, BlueSync technology, DF4 with BlueSync mobile remote monitoring</Description><Size>35 cm3, 82.1 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392273</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI426</BillingCode><Name>Cobalt™ HF Quad CRT-D MRI SureScan™ with BlueSync mobile remote monitoring</Name><Description>Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy with PhysioCurve Design, MRI compatible, SmartShock 2.0 Technology, OptiVol 2.0 Fluid Status Monitoring, CardioSync Optimisation Test, VectorExpress LV Automated Test, Complete Capture Management, BlueSync technology, Quad DF4 with BlueSync mobile remote monitoring</Description><Size>35.5 cm3, 83 g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,c,d,e Remote Monitoring Service</Suffix><ARTGs><ARTG>392242</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>31796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ658</BillingCode><Name>Talentia SonR CRT-D 3841</Name><Description>Implantable cardioverter defibrillator with cardiac resynchronisation therapy and DF4 connector</Description><Size>Weight - 87g Volume - 33cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>238</SubCategoryID><GroupID>1727</GroupID><Suffix>a,d,e</Suffix><ARTGs><ARTG>443135</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ601</BillingCode><Name>Micra VR2 Transcatheter Pacemaker</Name><Description>Single chamber transcatheter leadless pacemaker with SureScan technology including a delivery catheter (MC2VR01). 
</Description><Size>2.59cm length, 0.67cm outer diameter and 1.75 grams weight</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>2965</GroupID><ARTGs><ARTG>455509</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>10083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ547</BillingCode><Name>Aveir VR Transcatheter Leadless Pacemaker Model LSP112V</Name><Description>Single chamber transcatheter leadless pacemaker, MRI-ready, 243 mAh battery capacity, chronically retrievable, 
active helix fixation, expandable to dual chamber.
</Description><Size>3.8cm length, 0.65 outer diameter and 2.4 grams weight</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>2965</GroupID><ARTGs><ARTG>464035</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>10083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI516</BillingCode><Name>Micra VR Transcatheter Pacemaker</Name><Description>Single chamber transcatheter leadless pacemaker with SureScan™ technology including a delivery catheter (MC1VR01).    </Description><Size>2.59cm length, 0.67cm outer diameter and 1.75 grams weight</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>2965</GroupID><ARTGs><ARTG>391832</ARTG></ARTGs><MinimumBenefit>10083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI446</BillingCode><Name>Azure XT SR MRI SureScan  with BlueSync mobile remote monitoring</Name><Description>MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR) with BlueSync mobile remote monitoring</Description><Size>12.25cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>Remote Monitoring Service</Suffix><ARTGs><ARTG>392521</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>5112</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI447</BillingCode><Name>Azure S SR MRI SureScanTM with BlueSync mobile remote monitoring</Name><Description>MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR) with BlueSync mobile remote monitoring</Description><Size>12.25cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>Remote Monitoring Service</Suffix><ARTGs><ARTG>392531</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>5112</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT203</BillingCode><Name>Edora 8 SR-T</Name><Description>Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDect, MRI conditional, IS-1 connector</Description><Size>48 x 40 x 6.5 mm, 10 cm3 , 20.8 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396052</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT215</BillingCode><Name>Evity 8 SR-T</Name><Description>Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDect, MRI conditional, IS-1 connector</Description><Size>IS-1 (1x)   10 cm3/ 20.8g     48 mm × 40 mm × 6.5 mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396034</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS320</BillingCode><Name>ACCOLADE MRI SR</Name><Description>Single Chamber Pacemaker, MRI Conditional</Description><Size>ACCOLADE MRI SR 4.45 x 4.81 x 0.75cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>400400</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS271</BillingCode><Name>VITALIO MRI SR</Name><Description>Single Chamber Pacemaker, MRI Compatible</Description><Size>11.5cc</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>213925</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ363</BillingCode><Name>Assurity MRI PM1272</Name><Description>MRI Conditional RF Single Chamber Rate Responsive Pacemaker</Description><Size>10.4cc, 20g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>267512</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ365</BillingCode><Name>Endurity MRI PM1172</Name><Description>MR Conditional Single Chamber Pacing System</Description><Size>9.7cc, 19g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>267515</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI228</BillingCode><Name>Attesta SR MRI SureScan pacemaker</Name><Description>MRI, single chamber rate responsive pacemaker (AAIR/VVIR, AAI/VVI)</Description><Size>9.7cm3 21.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>393094</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI223</BillingCode><Name>Azure S SR MRI SureScan</Name><Description>MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR)</Description><Size>12.25cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>392531</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI246</BillingCode><Name>Azure XT SR MRI SureScan</Name><Description>MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR)</Description><Size>12.25cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>392521</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF012</BillingCode><PriorBillingCodes><PriorBillingCode>SA172</PriorBillingCode></PriorBillingCodes><Name>KORA 100 SR</Name><Description>KORA 100 SR is a Single Chamber MRI conditional rate-responsive pacemaker.</Description><Size>Dimensions 37.4 x 41.5 x 6.1mm,  Weight 19g. Volume 7.5cm3. Connector IS-1. Sensors Minute Ventilation (MV) and Accelerometer (G).</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>260253</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF031</BillingCode><Name>ENO SR</Name><Description>Single Chamber MRI Conditional Pacemaker</Description><Size>Weight -19g  Volume 7.5cc  </Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>327723</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF027</BillingCode><Name>OTO SR</Name><Description>Single Chamber MRI Conditional Pacemaker</Description><Size>Weight- 19g  Volume - 7.5cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>327725</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF043</BillingCode><Name>Alizea™ SR</Name><Description>Single Chamber MRI Conditional Pacemaker</Description><Size>Volume - 10.5cc    Weight -23.3g</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>396619</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF028</BillingCode><Name>TEO SR</Name><Description>Single Chamber MRI Conditional Pacemaker</Description><Size>Weight - 19g  Volume- 7.5cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>327721</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI161</BillingCode><Name>Advisa SR MRI SureScan pacemaker A3SR01</Name><Description>Single chamber pacemaker with SureScan MRI Technology</Description><Size>11.9cm3 21g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>392335</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC728</BillingCode><Name>Adapta Pacemaker</Name><Description>SR Pacemaker
Models ADSR01, ADSR06, ADSR03</Description><Size>9.7 - 11.0cc
21.5 - 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><ARTGs><ARTG>396557</ARTG><ARTG>396556</ARTG><ARTG>396558</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ134</BillingCode><Name>Amvia Sky SR-T </Name><Description>Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, Quick/Early Check, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector</Description><Size>48 x 40 x 6.5 mm, 10 cm3 , 20.8 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>443694</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ139</BillingCode><Name>Solvia Rise SR-T</Name><Description>Single Chamber Pacemaker, ventricular capture control, physiological rate adaption,
automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home
Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector</Description><Size>48 x 40  x 6.5 mm,  10cm3   20.8g </Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>239</SubCategoryID><GroupID>1730</GroupID><Suffix>i</Suffix><ARTGs><ARTG>443692</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF030</BillingCode><Name>TEO DR</Name><Description>Dual Chamber MRI Conditional Pacemaker</Description><Size>Weight - 20g   Volume - 8cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>327720</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ366</BillingCode><Name>Endurity MRI PM2172</Name><Description>Dual Chamber MR Conditional Rate Responsive Pacemaker</Description><Size>10.4cc, 20g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>i</Suffix><ARTGs><ARTG>267514</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ364</BillingCode><Name>Assurity MRI PM2272</Name><Description>MR Conditional RF Dual Chamber Rate Responsive Pacemaker</Description><Size>10.4cc, 20g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>i</Suffix><ARTGs><ARTG>267513</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS269</BillingCode><Name>VITALIO MRI EL DR</Name><Description>Dual Chamber Pacemaker, extended life MRI Compatible</Description><Size>14cc</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>i</Suffix><ARTGs><ARTG>213927</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT193</BillingCode><Name>Edora 8 DR-T</Name><Description>Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional, IS-1 connector</Description><Size>48 x 44 x 6.5 mm, 11 cm3,  23.2 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>396049</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT242</BillingCode><Name>Enitra 8 DR-T</Name><Description>Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption,automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional, IS-1 connector</Description><Size>11 cm3/ 23.2 g        48 mm × 44 mm × 6.5 mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>396044</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT214</BillingCode><Name>Evity 8 DR-T</Name><Description>Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional, IS-1 connector</Description><Size>IS-1 (2x) 11 cm3/ 23.2 g     48 mm × 44 mm × 6.5 mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>396051</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC933</BillingCode><Name>Advisa DR MRI SureScan</Name><Description>Advisa DR MRI SureScan A3DR01 - Dual-chamber pacemaker</Description><Size>12.7cc, 22g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>396560</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI243</BillingCode><Name>Azure S DR MRI SureScan</Name><Description>MR Conditional dual chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-DDDR)</Description><Size>12.75cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>392520</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS321</BillingCode><Name>ACCOLADE MRI DR SL and EL</Name><Description>Dual Chamber Pacemaker, MRI Conditional</Description><Size>ACCOLADE MRI DR SL 4.45 x 5.02 x 0.75cm and ACCOLADE MRI DR EL 4.45 x 5.88 x 0.75cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>i</Suffix><ARTGs><ARTG>400399</ARTG><ARTG>400396</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ135</BillingCode><Name>Solvia Rise DR-T</Name><Description>Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption,
EarlyCheck, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry,
Home Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector</Description><Size>48 x 44  x 6.5 mm,  11cm3   23.2g </Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>443693</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ151</BillingCode><Name>Amvia Sky DR-T </Name><Description>Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption, atrial anti-tachycardia pacing,  Quick/Early Check, automatic event (IEGM) &amp; trend triggered transmission. Wandless telemetry, Home Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector</Description><Size>48 x 44 x 6.5 mm, 11 cm3,  23.2 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>443695</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI222</BillingCode><Name>Attesta DR MRI SureScan pacemaker</Name><Description>MRI safe, dual chamber rate responsive pacemaker (DDDR)</Description><Size>12.1cm3 23.6g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>393093</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI237</BillingCode><Name>Azure XT DR MRI SureScan</Name><Description>MR Conditional dual chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry</Description><Size>12.75 cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g</Suffix><ARTGs><ARTG>392519</ARTG></ARTGs><MinimumBenefit>6870</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC726</BillingCode><Name>Adapta Pacemaker</Name><Description>DR Pacemaker
Models ADDR01, ADDRS1, ADDR03</Description><Size>11.1 - 13cc 23.6g - 28.1g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>396550</ARTG><ARTG>396551</ARTG><ARTG>396559</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI226</BillingCode><Name>Attesta L DR MRI SureScan pacemaker</Name><Description>MRI, dual chamber rate responsible pacemaker (DDDR)</Description><Size>13.1cm3 31.3g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>393095</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI233</BillingCode><Name>Attesta S DR MRI SureScan pacemaker</Name><Description>MRI, dual chamber rate responsive pacemaker (DDDR)</Description><Size>11.1cm3 23.6g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>393096</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI448</BillingCode><Name>Azure XT DR MRI SureScan with BlueSync mobile remote monitoring</Name><Description>MR Conditional dual chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry with BlueSync mobile remote monitoring</Description><Size>12.75 cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>392519</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>8320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF029</BillingCode><Name>OTO DR</Name><Description>Dual Chamber MRI Conditional  Pacemaker</Description><Size>Weight - 20g  Volume - 8cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>327724</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF026</BillingCode><Name>ENO DR</Name><Description>Dual Chamber MRI Conditional Pacemaker</Description><Size>Weight 20g  Volume 8cc</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>327722</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF016</BillingCode><PriorBillingCodes><PriorBillingCode>SA171</PriorBillingCode></PriorBillingCodes><Name>KORA 100 DR</Name><Description>KORA 100 DR is a Dual Chamber MRI conditional, Rate Responsive Pacemaker</Description><Size>41.2 x 41.5 x 6.1mm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>260252</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF042</BillingCode><Name>Alizea™ DR</Name><Description>Dual chamber MRI conditional pacemaker</Description><Size>Volume - 10.95cc  Weight - 24.2g</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><ARTGs><ARTG>396885</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI449</BillingCode><Name>Azure S DR MRI SureScan with  BlueSync mobile remote monitoring</Name><Description>MR Conditional dual chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-DDDR) with BlueSync mobile remote monitoring</Description><Size>12.75 cm3 22.5g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>240</SubCategoryID><GroupID>1734</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>392520</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>8320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ133</BillingCode><Name>Amvia Sky HF-T</Name><Description>Triple Chamber CRT Pacemaker, capture management all chambers, physiological rate adaption, atrial overdrive pacing, Quick/Early Check, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI Guard 24/7, MRI AutoDetect, MRI conditional,  IS-1 connector</Description><Size>53 x 52 x 6.5 mm, 14 cm3,  26.9 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>443690</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ143</BillingCode><Name>Amvia Sky HF-T QP</Name><Description>Triple Chamber CRT Pacemaker, capture management all chambers, physiological rate adaption, quadripolar LV pacing, atrial overdrive pacing, Quick/Early Checks, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI Guard 24/7, MRI AutoDetect, MRI conditional,  IS-1  IS4 connectors</Description><Size>53 x 53 x 6.5 mm, 15cm3,  31.2 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>443691</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI440</BillingCode><Name>Percepta MRI SureScan CRT-P  with BlueSync mobile remote monitoring</Name><Description>MR Conditional pacemaker with cardiac resynchronization therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR) with BlueSync mobile remote monitoring</Description><Size>20cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>393515</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>10454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI442</BillingCode><Name>Serena MRI SureScan CRT-P  with BlueSync mobile remote monitoring</Name><Description>MR Conditional pacemaker with cardiac resynchronisation therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR) with BlueSync mobile remote monitoring</Description><Size>20cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>393517</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>10454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI439</BillingCode><Name>Percepta Quad MRI SureScan CRT-P  with BlueSync mobile remote monitoring</Name><Description>MR Conditional pacemaker with cardiac resynchronization therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR) with BlueSync mobile remote monitoring</Description><Size>20.5cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>393516</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>10454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI441</BillingCode><Name>Serena Quad MRI SureScan CRT-P  with BlueSync mobile remote monitoring</Name><Description>MR Conditional pacemaker with cardiac resynchronisation therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR) with BlueSync mobile remote monitoring</Description><Size>20.5cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g, Remote Monitoring Service</Suffix><ARTGs><ARTG>393518</ARTG></ARTGs><Note>The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed on Part C of the Schedule.</Note><MinimumBenefit>10454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ403</BillingCode><Name>Quadra Allure MP MRI</Name><Description>CRT Quadripolar, Rate Responsive Pacemaker with multipoint pacing</Description><Size>27g, 15cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>309821</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ337</BillingCode><Name>Allure RF PM3222</Name><Description>CRT Rate Responsive Pacemaker with RF Telemetry</Description><Size>14cc, 24g</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>216290</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT199</BillingCode><Name>Edora 8 HF-T QP</Name><Description>Triple Chamber CRT-Pacemaker, capture management all chambers, physiological rate adaption, quadripolar LV pacing, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-4  IS-1 connectors</Description><Size>53 x 53 x 6.5 mm, 15cm3,  31.2 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396005</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT241</BillingCode><Name>Enitra 8 HF-T QP</Name><Description>Triple Chamber CRT-Pacemaker, capture management all chambers, physiological rate adaption, quadripolar LV pacing, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-4  IS-1 connectors</Description><Size>15 cm3/ 31.2g          53 mm × 53 mm × 6.5 mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396000</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT191</BillingCode><Name>Edora 8 HF-T</Name><Description>Triple Chamber CRT Pacemaker, capture management all chambers, physiological rate adaption, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-1 connector</Description><Size>53 x 52 x 6.5 mm, 14 cm3,  26.9 grams</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>396002</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT243</BillingCode><Name>Enitra 8 HF-T</Name><Description>Triple Chamber CRT Pacemaker, capture management all chambers, physiological rate adaption, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-1 connector</Description><Size>14 cm3/ 26.9g                    53 mm × 52 mm × 6.5 mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>395999</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS326</BillingCode><Name>VISIONIST X4 CRT-P, VISIONIST CRT-P</Name><Description>Cardiac Resynchronization Therapy Pacemaker</Description><Size>U228: 4.45 x 6.17 x 0.75cm. U225 and U226: 4.45 x 6.13 x 0.75cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>i</Suffix><ARTGs><ARTG>400403</ARTG><ARTG>400404</ARTG><ARTG>400405</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI245</BillingCode><Name>Percepta Quad MRI SureScan CRT-P</Name><Description>MR Conditional pacemaker with cardiac resynchronisation therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR)</Description><Size>20.5cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g</Suffix><ARTGs><ARTG>393516</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI236</BillingCode><Name>Serena Quad MRI SureScan CRT-P</Name><Description>MR Conditional pacemaker with cardiac resynchronisation therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR)</Description><Size>20.5cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g</Suffix><ARTGs><ARTG>393518</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI244</BillingCode><Name>Serena MRI SureScan CRT-P</Name><Description>MR Conditional pacemaker with cardiac resynchronisation therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR)</Description><Size>20cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g</Suffix><ARTGs><ARTG>393517</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI231</BillingCode><Name>Percepta MRI SureScan CRT-P</Name><Description>MR Conditional pacemaker with cardiac resynchronization therapy, SureScan™ technology, and Bluetooth® wireless telemetry (OAE-DDDR)</Description><Size>20cm3 30g</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>241</SubCategoryID><GroupID>1736</GroupID><Suffix>g</Suffix><ARTGs><ARTG>393515</ARTG></ARTGs><MinimumBenefit>9004</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC026</BillingCode><Name>Medtronic Transvene SVC Lead Model 6937;</Name><Description>Model 6937-35, Model 6937-52, Model 6937-58, Model 6937-110; Silicone;</Description><Size>35 - 110cm x  660mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1737</GroupID><ARTGs><ARTG>136182</ARTG></ARTGs><MinimumBenefit>1348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC251</BillingCode><Name>Implantable Subcutaneous Defibrillator Lead Model 6996SQ 41cm, 58cm, 85cm</Name><Description>Silicone and Platinum Alloy</Description><Size>Lengths 41-85cm inclusive</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1738</GroupID><ARTGs><ARTG>132315</ARTG></ARTGs><MinimumBenefit>1922</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS183</BillingCode><Name>Endotak Reliance 4-SITE</Name><Description>Passive fixation dual coil defibrillation leads with 4-SITE connector</Description><Size>50-70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>165643</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS180</BillingCode><Name>Endotak Reliance 4-SITE</Name><Description>Passive fixation dual coil defibrillation leads with 4-SITE connector</Description><Size>50-70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>165641</ARTG><ARTG>165643</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS181</BillingCode><Name>Endotak Reliance SG 4-SITE</Name><Description>Passive fixation single coil defibrillation leads with ePTFE covered coil &amp; 4-SITE connector</Description><Size>50-70</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>165642</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS261</BillingCode><Name>RELIANCE 4-FRONT</Name><Description>Passive, single/dual coil, defibrillation lead</Description><Size>Length: 59cm - 70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>217433</ARTG><ARTG>217434</ARTG><ARTG>217435</ARTG><ARTG>303417</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ245</BillingCode><Name>Durata 7170Q, 7171Q and 7172Q</Name><Description>7170Q/7171Q - passive fixation, bipolar, dual coil, 7172Q - passive fixation, bipolar - single coil steroid eluting endocardial defibrillation leads with Optim insulation overlay and SJ4 quadripolar lead connector</Description><Size>52, 58 and 65cm, 7F introducer</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>170594</ARTG><ARTG>170592</ARTG><ARTG>170593</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ346</BillingCode><Name>Optisure ICD Lead LDP210Q/220Q/230Q</Name><Description>Passive fixation ICD lead with DF-4 connector.</Description><Size>52cm-65cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>221013</ARTG><ARTG>221037</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI369</BillingCode><Name>Medtronic Sprint Quattro 6946M Lead</Name><Description>Passive fixation, tined, steroid eluting, quadripolar, dual coil defibrillation leads with silicone backfill and DF-4 connector, including MRI compatible models</Description><Size>55-62 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1741</GroupID><Suffix>e</Suffix><ARTGs><ARTG>341671</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS260</BillingCode><Name>RELIANCE 4-FRONT</Name><Description>Active, Single/Dual coil, defibrillation lead</Description><Size>Length: 59cm -70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>303416</ARTG><ARTG>217431</ARTG><ARTG>217430</ARTG><ARTG>217432</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS352</BillingCode><Name>ENDOTAK RELIANCE SG Active</Name><Description>Active Single coil with GORE ePTFE covered coils</Description><Size>59-90cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>119322</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT211</BillingCode><Name>Plexa ProMRI DF-1 S DX</Name><Description>Pentapolar MR conditional ICD lead
with active fixation</Description><Size>Diameter 7.8F; Length/Dist Dipole to Tip  65/15 cm , 65/17 cm.</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>298208</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT209</BillingCode><Name>Plexa ProMRI DF-1 S</Name><Description>Tripolar MR conditional ICD lead
with active fixation</Description><Size>Diameter 7.8 F ; Length 65cm ,75cm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>298206</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC208</BillingCode><Name>Medtronic Sprint Quattro Secure Lead Model 6947 (MRI SureScan)</Name><Description>Leads, Defibrillator, Implantable, Silicone, polyurethane, platinized tantalum coils, steroid eluting tip, including MRI compatible versions</Description><Size>58-100cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>286980</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC834</BillingCode><Name>Sprint Quattro Secure S (MRI SureScan)</Name><Description>Model 6935, Active Fixation Single Coil Defibrillation Lead, including MRI models</Description><Size>52 - 100cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>286979</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ157</BillingCode><Name>Durata 7120, 7121, 7122</Name><Description>Active fixation bipolar, dual-coil/single coil Steroid-eluting Endocardial Defibrillation Leads</Description><Size>60, 65, 75cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>159843</ARTG><ARTG>159845</ARTG><ARTG>159846</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT245</BillingCode><Name>Plexa ProMRI DF4 S DX</Name><Description>Pentapolar MR conditional ICD lead  with active fixation  </Description><Size>Diameter 7.8F; Length/Dist Dipole to Tip  65/15 cm , 65/17 cm.  </Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><ARTGs><ARTG>329340</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS174</BillingCode><Name>Endotak Reliance SG 4-SITE</Name><Description>Active fixation single coil defibrillation leads with ePTFE covered coil &amp; 4-SITE connector.</Description><Size>50-70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>165645</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF053</BillingCode><Name>InVicta™</Name><Description>MRI DF4 Active Fixation Defibrillation Leads including delivery accessories (1 funnel, 1 PSA adaptor, 1 vein filter, 2 fixation tools, 2 x-soft straight stylets, 2 soft straight stylets, 2 firm straight stylets)  </Description><Size>58cm  and 68cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>422101</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS179</BillingCode><Name>Endotak Reliance S 4-SITE</Name><Description>Active fixation single coil defibrillation leads &amp; 4-SITE connector</Description><Size>50-70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>327981</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS182</BillingCode><Name>Endotak Reliance 4-SITE</Name><Description>Active fixation dual coil defibrillation leads with 4-SITE connector.</Description><Size>50-70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>165639</ARTG><ARTG>165644</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI108</BillingCode><Name>Sprint Quattro Secure S DF4</Name><Description>Dexamethasone acetate and dexamethasone sodium phosphate steroid-eluting, tripolar, screw-in, ventricular lead with RV defibrillation coil electrode</Description><Size>49 - 97 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>236885</ARTG><ARTG>212486</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI033</BillingCode><Name>Sprint Quattro Secure 6947M Lead</Name><Description>Active fixation, true bipolar, dual coil defibrillation leads with silicone backfill and DF-4 connector</Description><Size>45-110cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>236884</ARTG><ARTG>191093</ARTG><ARTG>191092</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ230</BillingCode><Name>Durata 7120Q, 7121Q and 7122Q</Name><Description>7120/1Q - Adtive fixation, true bipolar; 7122Q - Active fixation true bipolar - single coil steroid eluting endocardial defibrillation leads with Optim insulation overlay and SJ4 quadripolar lead connector.</Description><Size>52cm, 58cm and 65cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>170590</ARTG><ARTG>170589</ARTG><ARTG>170591</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ344</BillingCode><Name>Optisure ICD Lead LDA210Q/220Q/230Q</Name><Description>Active fixation ICD lead with DF-4 connector</Description><Size>52cm-65cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>221011</ARTG><ARTG>221036</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT261</BillingCode><Name>Pamira ProMRI SD </Name><Description>Quadripolar MR conditional ICD lead  with active fixation</Description><Size>Diameter 8.4F , 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>412611</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT259</BillingCode><Name>Pamira ProMRI S </Name><Description>Tripolar MR conditional ICD lead  with active fixation</Description><Size>Diameter 8.4F ; Length 61cm, 65cm , 75cm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>412610</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT262</BillingCode><Name>Pamira ProMRI S DX</Name><Description>Pentapolar MR conditional ICD lead  with active fixation  </Description><Size>Diameter 8.4F; Length/Dist Dipole to Tip  65/15 cm , 65/17 cm.  </Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>412612</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC027</BillingCode><Name>Model 6721 Unipolar Epicardial Patch Leads S/M/L</Name><Description>Model 6721S-50, Model 6721M-50, Model 6721L-50; Silicone</Description><Size>370, 660, 840mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1745</GroupID><ARTGs><ARTG>136183</ARTG></ARTGs><MinimumBenefit>851</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC011</BillingCode><Name>Capsure EPI steroid eluting bipolar epicardial lead Model 4968 - ventricle</Name><Description>Silicone</Description><Size>25 - 60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1746</GroupID><ARTGs><ARTG>134287</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS153</BillingCode><Name>Myopore</Name><Description>Bipolar sutureless myocardial pacing lead</Description><Size>25-54cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1746</GroupID><ARTGs><ARTG>161123</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC053</BillingCode><Name>Capsure EPI steroid eluting unipolar epicardial lead Model 4965 ventricle</Name><Description>Silicone</Description><Size>25 - 50cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1747</GroupID><ARTGs><ARTG>134427</ARTG></ARTGs><MinimumBenefit>827</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC009</BillingCode><Name>Medtronic Epicardial Pacing Leads IS-1 Model 5071</Name><Description>Silicone</Description><Size>25 - 53 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1748</GroupID><ARTGs><ARTG>136181</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS133</BillingCode><Name>Acuity Spiral</Name><Description>Unipolar passive fixation</Description><Size>80, 90 &amp; 100cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1751</GroupID><ARTGs><ARTG>155274</ARTG></ARTGs><MinimumBenefit>1213</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS347</BillingCode><Name>Fineline II Sterox IROX Lead</Name><Description>Bipolar, passive fixation</Description><Size>45cm, 52cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>128060</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS295</BillingCode><Name>Ingevity</Name><Description>Passive MR conditional pacing lead</Description><Size>45cm to 59cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>263513</ARTG><ARTG>263512</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS346</BillingCode><Name>Fineline II Sterox IROX Lead</Name><Description>Bipolar passive fixation</Description><Size>52cm, 58cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>299176</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT163</BillingCode><Name>Solia T</Name><Description>Sub 6F, steoid-eluting transvenous, endocardial, bipolar passive-fixation lead MRI conditional</Description><Size>Lengths: 53, 60cm; Diameter: 5.6Fr</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>224798</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT216</BillingCode><Name>Solia JT</Name><Description>Sub 6F, steroid-eluting, transvenous, endocardial, bipolar passive fixation lead. MRI conditional</Description><Size>Lengths: 45, 53 cm; Diameter: 5.6Fr</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>294253</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC372</BillingCode><Name>CapSure Sense MRI SureScan pacemaker leads Models 4074 &amp; 4574</Name><Description>Bipolar, steroid, passive fixation pacing lead</Description><Size>Model 4074:  52 - 58cm; Model 4574: 45 - 53cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>134331</ARTG><ARTG>134426</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ146</BillingCode><Name>Isoflex 1944T &amp; 1948T</Name><Description>Passive-Fixation, Bipolar, Steriod Eluting, Endocardial Pacing Lead with Optim insulation</Description><Size>46cm, 52cm, 58cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1753</GroupID><ARTGs><ARTG>159532</ARTG><ARTG>159533</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS296</BillingCode><Name>Ingevity</Name><Description>Active MR conditional pacing lead</Description><Size>45cm to 59cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>263514</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC338</BillingCode><Name>Medtronic Capsurefix Novus Model 5076 Pacing Lead</Name><Description>Silicone; Contents: 1 x lead with anchoring sleeve, stylet &amp; guide, 1 x vein lifter, 2 x fixation tools, extra stylets</Description><Size>45-85cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>236828</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF044</BillingCode><Name>VEGA Pacemaker Lead</Name><Description>Bipolar endocardial pacemaker lead</Description><Size>45cm, 52cm, and 58cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>392590</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ238</BillingCode><Name>Tendril STS 2088TC</Name><Description>Endocardial Bi-polar Steroid-Eluting Active Fixation Pacing Leads</Description><Size>34cm-100cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>170587</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ653</BillingCode><Name>UltiPace LPA1231 Pacing Leads</Name><Description>Endocardial Bi-polar Steroid-Eluting Active Fixation Pacing Leads</Description><Size>Length (cm) 46, 52, 58, 65cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>445794</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC833</BillingCode><Name>CapSureFix Novus Model 4076 Pacing Lead (MRI SureScan)</Name><Description>Active fixation pacemaker lead, including MRI compatible models</Description><Size>35 - 85cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>286952</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS348</BillingCode><Name>Fineline II EZ Sterox IROX Lead</Name><Description>Bipolar, active fixation</Description><Size>45cm, 52cm, 58cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>299177</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC301</BillingCode><Name>SelectSecure Model 3830 and SelectSecure MRI SureScan Model 3830</Name><Description>Steroid eluting, bipolar, implantable, nonretractable screw-in, atrial/ventricular, catheter delivered, transvenous pacemaker lead.</Description><Size>49-110 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><Suffix>j</Suffix><ARTGs><ARTG>131307</ARTG><ARTG>301080</ARTG></ARTGs><MinimumBenefit>1284</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF013</BillingCode><Name>SonR tip PS55D Lead</Name><Description>The SonR tip™ lead is an atrial endocardial pacemaker lead equipped with a hemodynamic sensor embedded in the tip of a straight, bipolar RA pacing lead  · Unlike other automatic optimisation strategies, the signal recorded by  the SonR sensor reflects global ventricular contractility  · Optimisation by SonR is similar to continuous AV and VV optimisation  by echocardiography. It is supplied in a non-MRI and MRI conditional version. The package includes a lead, with a straight stylet inserted, suture sleeve mounted and funnel mounted on the connector pin, a vein lifter and stylets.</Description><Size>Length - 520mm, Diameter 2.6mm, 7.8 F</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>275553</ARTG><ARTG>400444</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS390</BillingCode><Name>Ingevity+</Name><Description>Active MR conditional pacing lead</Description><Size>45cm to 59cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>374841</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT164</BillingCode><Name>Solia S</Name><Description>Sub 6F, steroid-eluting, transvenous, endocardial, bipolar active fixation lead with an extendable/retractable, electrically active screw. MRI conditional</Description><Size>Lengths: 45, 53, 60cm; Diameter: 5.6Fr</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><ARTGs><ARTG>224786</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC811</BillingCode><Name>Attain Ability 4196 LV Lead/ Attain Ability SureScan 4196 MRI LV Lead</Name><Description>Over the wire dual electrode left ventricular lead</Description><Size>78, 88, and 103 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>284518</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI013</BillingCode><Name>Attain Ability Plus 4296/ Attain Ability Plus SureScan MRI 4296</Name><Description>Over the wire electrode left ventricular lead</Description><Size>78cm, 88cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>284542</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI014</BillingCode><Name>Attain Ability Straight 4396/ Attain Ability Straight 4396 SureScan MRI</Name><Description>Over the wire dual left ventricular lead</Description><Size>78cm, 88cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>284541</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT185</BillingCode><Name>Sentus ProMRI OTW QP L &amp; S</Name><Description>Quadripolar, steroid eluting left ventricular lead with standard/short pole spacing's and fractal coating. IS4 Connector &amp; MRI Conditional for CRT</Description><Size>Lengths: 77cm, 87 cm, 97cm 4.8F</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>312682</ARTG><ARTG>312683</ARTG><ARTG>272574</ARTG><ARTG>272573</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS292</BillingCode><Name>ACUITY X4</Name><Description>Left ventricular family of quad leads with four pacing and sensing electrodes. Three lead configurations offered to assist in LV lead placement and avoid phrenic nerve stimulation and high thresholds.</Description><Size>86cm, 95cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><Suffix>j</Suffix><ARTGs><ARTG>235037</ARTG><ARTG>235035</ARTG><ARTG>235036</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ208</BillingCode><Name>Quick Flex µ 1258T</Name><Description>4F Bipolar Left Ventricular Pacing Lead</Description><Size>75cm, 86cm, 92cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><Suffix>j</Suffix><ARTGs><ARTG>161391</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF047</BillingCode><Name>NAVIGO™ 4LV</Name><Description>MRI IS4 Quadripolar left ventricular pacing lead</Description><Size>78cm, 88cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>396631</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ243</BillingCode><Name>Quartet</Name><Description>Quadripolar, Left Ventricular Pacing Lead with Optim Lead Insulation</Description><Size>75, 86 and 92cm, 5 French introducer</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>171332</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI201</BillingCode><Name>Attain stability lead</Name><Description>Steroid eluting, active fixation, dual electrode, transvenous, guide wire delivered, cardiac vein pacing lead with an IS-1 connector</Description><Size>88cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>279781</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI129</BillingCode><Name>Attain Performa Leads/ Attain Performa SureScan MRI Leads</Name><Description>LV lead family with four electrodes and an IS4 connector for LV pacing w/premium and standard IS4 CRT-D devices. The Attain Perfoma™ Lead provides LV pacing options to avoid the following: phrenic nerve stimulation, high pacing thresholds, and ischemic tissue (including MRI versions)</Description><Size>78, 88cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>284516</ARTG><ARTG>284519</ARTG><ARTG>284517</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI283</BillingCode><Name>Attain Stability Quad MRI SureScan</Name><Description>Steroid-eluting, quadripolar electrode, transvenous, over-the-wire, cardiac vein pacing lead with active fixation</Description><Size>88 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1759</GroupID><ARTGs><ARTG>307331</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS334</BillingCode><Name>Bipolar Lead Adaptor Models 6986, 4402, 4403</Name><Description>Model 6986: Bipolar 3.2mm to IS-1; Model 4402: Bipolar IS-1 to Bipolar LV-1; Model 4403: Bipolar or Unipolar LV-1 to Bipolar or Unipolar IS-1</Description><Size>14cm-17cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>244</SubCategoryID><GroupID>1763</GroupID><ARTGs><ARTG>189952</ARTG><ARTG>218790</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS335</BillingCode><Name>Unipolar Lead Adaptor Models 6161, 6162</Name><Description>Model 6161: 6mm Unipolar to IS-1; Model 6162: Split 5mm Unipolar to IS-1</Description><Size>10cm-15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>244</SubCategoryID><GroupID>1763</GroupID><ARTGs><ARTG>189952</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI045</BillingCode><Name>Adaptor Kits</Name><Description>Lead adaptors</Description><Size>10-50cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>244</SubCategoryID><GroupID>1763</GroupID><ARTGs><ARTG>129420</ARTG><ARTG>137315</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ393</BillingCode><Name>Lead Adaptor Kit</Name><Description>Lead adaptors/extender for ICD/Pacemakers</Description><Size>one size per model</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>244</SubCategoryID><GroupID>1763</GroupID><ARTGs><ARTG>131928</ARTG><ARTG>160470</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC831</BillingCode><Name>Medtronic Lead Extender Kits</Name><Description>Lead extenders</Description><Size>10 - 50cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>245</SubCategoryID><GroupID>1764</GroupID><ARTGs><ARTG>137315</ARTG><ARTG>129420</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS333</BillingCode><Name>Bipolar Lead Extender Model 6987</Name><Description>Bipolar 3.2mm to IS-1 lead extender</Description><Size>45cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>245</SubCategoryID><GroupID>1764</GroupID><ARTGs><ARTG>218790</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ392</BillingCode><Name>Lead Cap Kit</Name><Description>Caps used to protect lead terminal connector pin</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>124950</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI044</BillingCode><Name>Medtronic Upsizing Sleeve: Model 5866-45, Model 5866-46</Name><Description>5866-45: IS1 UNI Lead to 5/6mm UNI IPG; 5866-46: IS1 UNI Lead to 5mm UNI IPG or 5mm Bifurcated BI IPG</Description><Size>18-25mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>129420</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ480</BillingCode><Name>Pacing Lead Suture Sleeve</Name><Description>Suture sleeve used to provide secure fixation and protection of pacing/ICD leads</Description><Size>One size only, 6F</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>393221</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI043</BillingCode><Name>Medtronic DF-1 Port Pin Plug Kit: Model 6719; Medtronic IS-1 Port Pin Plug Kit: Model 6725</Name><Description>DF-1 unipolar connector port pin plug, one per kit</Description><Size>One size per model</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>132184</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS213</BillingCode><Name>Lead Cap Kit</Name><Description>Caps used to protect lead terminal connector pin</Description><Size>4.75mm and 3.2mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>133934</ARTG><ARTG>133935</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS336</BillingCode><Name>Pacing Lead Suture Sleeve Models 6773, 6403, 4603</Name><Description>Suture sleeves are used to secure and immobilise Pacing/ICD Leads</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>132495</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS212</BillingCode><Name>Pacemaker/Defibrillator port safety plug</Name><Description>Pacemaker/Defibrillator Plug that seals unused IS-1/DF-1 or IS-4/DF-4 port</Description><Size>3.2mm x 38mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>190242</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT217</BillingCode><Name>Biotronik Lead Fixation Sleeves</Name><Description>EFH Lead Fixation Sleeves</Description><Size>EFH-7F,8F,16,20,22,25,27</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>250355</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT190</BillingCode><Name>Biotronik BK &amp; BS Sealing Caps &amp; Blind Plugs</Name><Description>BK BS Lead Sealing Caps  BS Device Blind Plugs</Description><Size>BK-IS: IS1/DF1 Caps  BK-IS4/DF4:IS4/DF4 Caps  BS-IS4: BS-IS4 Blind Plugs  BS- IS1 Blind Plugs  BS- DF1 Blind Plugs</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>302015</ARTG><ARTG>302014</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ391</BillingCode><Name>Pacemaker port safety plug</Name><Description>Plug that seals unused IS-1, DF-1 and DF- 4 port</Description><Size>one size per model</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>200956</ARTG><ARTG>124950</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI042</BillingCode><Name>Medtronic Lead End Cap Kit Model: 5867-3M</Name><Description>Lead End Cap Kit</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1765</GroupID><ARTGs><ARTG>131305</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI195</BillingCode><Name>TYRX Absorbable Antibacterial Envelope</Name><Description>Antibacterial surgically implanted mesh envelope which stablises EID placement and prevents infection</Description><Size>6.3 x 6.9cm, 7.4 x 8.5cm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>246</SubCategoryID><GroupID>1829</GroupID><ARTGs><ARTG>334380</ARTG></ARTGs><MinimumBenefit>867</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RP001</BillingCode><PriorBillingCodes><PriorBillingCode>ME196</PriorBillingCode></PriorBillingCodes><Name>Figulla Flex II ASD Occluder</Name><Description>Occlutech Flexx II ASD Occlusion device</Description><Size>Figulla Flex II ASD Waist Ø (mm): Size 4,5,6,7.5,9,10.5,12,13.5,15,16.5,18,21,24,27,30,33,36,39,40</Size><SupplierCode>RP</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>201602</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT270</BillingCode><Name>GORE® CARDIOFORM Septal Occluder</Name><Description>The GORE® CARDIOFORM Septal Occluder consists of an implantable occluder comprised of a platinum-filled nickel-titanium (Nitinol) wire frame covered with expanded polytetrafluoroethylene (ePTFE). The occluder is available in sizes of 15, 20, 25, and 30 mm.</Description><Size>15mm Nominal Disc Diameter; 20mm Nominal Disc Diameter; 25mm Nominal  Disc Diameter; 30mm Nominal Disc Diameter</Size><SupplierCode>GT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>202817</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ267</BillingCode><Name>AMPLATZER Duct Occluder II</Name><Description>Self expandable multiple Nitinol wire mesh PDA occlusion device</Description><Size>Waist diameter 3-6mm, Nominal length 4-6mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>348711</ARTG><ARTG>154956</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ479</BillingCode><Name>Amplatzer Talisman PFO Occluder</Name><Description>Nitinol wire mesh</Description><Size>18-35mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>398663</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RP002</BillingCode><PriorBillingCodes><PriorBillingCode>ME197</PriorBillingCode></PriorBillingCodes><Name>Figulla Flex II PFO Occluder</Name><Description>The Figulla® Flex II PFO is an implant for closure of a patent foramen ovale (PFO) defect in the heart and is deployed via a minimally invasive catheter delivery system.  The Figulla® Flex PFO is intended for patients with substantiated Right-Left-Shunt in the contrast agent echocardiography under Valsalva maneuver and presence of a "cryptogenic", paradoxical thromboembolism.</Description><Size>Figulla Flex II PFO Disc Ø (mm): 23/25, 16/18, 27/30, 31/35</Size><SupplierCode>RP</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>201603</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ263</BillingCode><Name>Amplatzer PFO Occluder</Name><Description>Nitinol Wire Mesh</Description><Size>25mm &amp; 35mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>345213</ARTG><ARTG>134069</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ280</BillingCode><Name>Amplatzer Duct Occluder II Additional Sizes</Name><Description>Single use implantable transcatheter device for minimally invasive closure of Patent Ductus Arterious</Description><Size>0.2cm-0.6cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><ARTGs><ARTG>191422</ARTG><ARTG>348712</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ429</BillingCode><Name>Amplatzer Piccolo Occluder</Name><Description>Single use implantable transcatheter device for minimally invasive closure of Patent Ductus Arteriosus</Description><Size>0.2cm-0.6cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><ARTGs><ARTG>332782</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RP003</BillingCode><PriorBillingCodes><PriorBillingCode>ME228</PriorBillingCode></PriorBillingCodes><Name>Patent Ductus Arteriosus</Name><Description>The Occlutech® PDA Occluder is an occlusion system, which is percutaneously implanted through a catheter intervention technique and intended for the non-surgical occlusion of  Patent Ductus Arteriosus (PDA)</Description><Size>(PDA) with Standard Shank, D2 Ø 3.5mm, D3 Ø 5mm, D1 Ø 9mm, Length 4.25mm, Introducing System size 6FR;   (PDA) with Standard Shank, D2 Ø 4mm, D3 Ø 6mm, D1 Ø 10mm, Length 5mm, Introducing system size 6FR; (PDA) with Standard Shank, D2 Ø 5mm, D3 Ø 7mm, D1 Ø 11mm, Length 6.05mm, Introducing system size 6FR;   (PDA) with Standard Shank, D2 Ø 6mm, D3 Ø 8mm, D1 Ø 13mm, Length 6.30mm, Introducing system size 6FR;   (PDA) with Standard Shank, D2 Ø 8mm, D3 Ø 10mm, D1 Ø 16mm, Length 7mm, Introducing system size 7FR;   (PDA) with Standard Shank, D2 Ø 10mm, D3 Ø 12mm, D1 Ø 18mm, Length 12mm, Introducing system size 7FR;   (PDA) with Standard Shank, D2 Ø 12mm, D3 Ø 15mm, D1 Ø 20mm, Length 14mm, Introducing system size 8FR;   (PDA) with Standard Shank, D2 Ø 14mm, D3 Ø 18mm, D1 Ø 24mm, Length 16mm, Introducing system size 9FR;   (PDA) with Long Shank, D2 Ø 3.5mm, D3 Ø 5mm, D1 Ø 9mm, Length 7mm, Introducing system size 6FR; (PDA) with Long Shank, D2 Ø 4mm, D3 Ø 6mm, D1 Ø 10mm, Length 7.5mm, Introducing system size 6FR; (PDA) with Long Shank, D2 Ø 5mm, D3 Ø 7mm, D1 Ø 11mm, Length 8.5mm, Introducing system size 6FR; (PDA) with Long Shank, D2 Ø 6mm, D3 Ø 8mm, D1 Ø 13mm, Length 9mm, Introducing system size 6FR; (PDA) with Long Shank, D2 Ø 8mm, D3 Ø 10mm, D1 Ø 16mm, Length 10.5mm, Introducing system size 7FR.</Size><SupplierCode>RP</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><ARTGs><ARTG>219253</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ262</BillingCode><Name>Amplatzer Muscular VSD Occluder</Name><Description>Nitinol Wire Mesh</Description><Size>4 - 24mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>134071</ARTG><ARTG>134072</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ260</BillingCode><Name>Amplatzer Duct Occluder</Name><Description>Nitinol Wire Mesh</Description><Size>5 - 24mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>134070</ARTG><ARTG>345211</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ261</BillingCode><Name>Amplatzer Septal Occluder</Name><Description>Nitinol Wire Mesh</Description><Size>4mm - 40mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>1768</GroupID><Suffix>o</Suffix><ARTGs><ARTG>134067</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ395</BillingCode><Name>Amplatzer Left Atrial Appendage Closure Device</Name><Description>Amplatzer Amulet Occluder, Amplatzer Cardiac Plug. Nitinol wire mesh</Description><Size>16-34 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>2181</GroupID><ARTGs><ARTG>345210</ARTG><ARTG>216398</ARTG></ARTGs><MinimumBenefit>11268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS384</BillingCode><Name>WATCHMAN FLX</Name><Description>Left Atrial Appendage Closure Device</Description><Size>20mm to 35mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>248</SubCategoryID><GroupID>2181</GroupID><ARTGs><ARTG>340173</ARTG></ARTGs><MinimumBenefit>11268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>828</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>828</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC755</BillingCode><Name>InterStim II Neurostimulator</Name><Description>Model 3058 neurostimulator</Description><Size>Weight 22g</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1712</GroupID><ARTGs><ARTG>391141</ARTG></ARTGs><MinimumBenefit>9073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW003</BillingCode><Name>Axonics Neurostimulator</Name><Description>Rechargeable neurostimulator for sacral nerve stimulation</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>2950</GroupID><ARTGs><ARTG>390437</ARTG></ARTGs><MinimumBenefit>9606</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI500</BillingCode><Name>InterStim Micro MRI rechargeable neurostimulator</Name><Description>Rechargeable neurostimulator</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>2950</GroupID><ARTGs><ARTG>392260</ARTG></ARTGs><MinimumBenefit>9606</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>180317</ARTG><ARTG>180316</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>WA</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>139357</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS416</BillingCode><Name>Rezum</Name><Description>Single-use radiofrequency delivery device kit for treatment of BPH</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>2971</GroupID><ARTGs><ARTG>329141</ARTG></ARTGs><Note>Private health insurers are not required to pay benefits in respect of this billing code until 1 March 2024 when a Medicare benefit will be payable for the service.</Note><MinimumBenefit>1950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL096</BillingCode><Name>iTind Device</Name><Description>Temporary Nitinol Urethral Stent for the treatment of BPH</Description><Size>One size</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>2958</GroupID><ARTGs><ARTG>318768</ARTG></ARTGs><MinimumBenefit>2205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ026</BillingCode><PriorBillingCodes><PriorBillingCode>AT086</PriorBillingCode></PriorBillingCodes><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>IJ</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>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH755</BillingCode><PriorBillingCodes><PriorBillingCode>LM449</PriorBillingCode></PriorBillingCodes><Name>Intracranial Pressure and Temperature Catheter</Name><Description>Intracranial Pressure and Temperature Catheter</Description><Size>Suitable for all patient anatomy</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>253</SubCategoryID><GroupID>1794</GroupID><Suffix>Catheter</Suffix><ARTGs><ARTG>308491</ARTG><ARTG>308492</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH765</BillingCode><Name>Neodura Dural Repair Patch ≤10cm²</Name><Description>absorbable dural repair patch made of degradable PLLA &amp; Gelatin</Description><Size>10cm² or less</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>419571</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><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC750</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>1" x 1"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>367947</ARTG><ARTG>154606</ARTG><ARTG>367948</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>921</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ166</BillingCode><Name>Neodura Dural Repair Patch</Name><Description>absorbable dural repair patch made of degradable PLLA &amp; Gelatin</Description><Size>10 to 50cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>419571</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>367947</ARTG><ARTG>154606</ARTG><ARTG>367948</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC753</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>3" x 3"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ168</BillingCode><Name>Neodura Dural Repair Patch</Name><Description>Absorbable dural repair patch made of degradable PLLA &amp; Gelatin</Description><Size>50 to 100cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>419571</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC754</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>4" x 5"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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), 5” x 7” (12.5cm x 17.5cm)</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>159826</ARTG><ARTG>367948</ARTG><ARTG>154606</ARTG><ARTG>367947</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><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ167</BillingCode><Name>Neodura Dural Repair Patch</Name><Description>Absorbable dural repair patch made of degradable PLLA &amp; Gelatin</Description><Size>Greater than 100cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>419571</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW659</BillingCode><Name>ADHERUS Dural Sealant</Name><Description>Dural sealant</Description><Size>6ml</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1662</GroupID><ARTGs><ARTG>202972</ARTG></ARTGs><MinimumBenefit>580</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW660</BillingCode><Name>Adherus AutoSpray</Name><Description>Hydrogel sealant with automatic applicator.</Description><Size>6mL</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1662</GroupID><ARTGs><ARTG>202972</ARTG></ARTGs><MinimumBenefit>580</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>580</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ767</BillingCode><Name>TissuePatchDural</Name><Description>Self adhesive dural sealant</Description><Size>50 x 25-100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1664</GroupID><ARTGs><ARTG>404630</ARTG></ARTGs><ChangeExplanation>Compressed from LH720, LH719, LH723, LH721</ChangeExplanation><MinimumBenefit>446</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>150123</ARTG><ARTG>149300</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI525</BillingCode><Name>CSF-Lumboperitoneal Shunt</Name><Description>T-Tube and K-Tube</Description><Size>Length: 87cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1667</GroupID><ARTGs><ARTG>134740</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC529</BillingCode><Name>Lumboperitoneal Shunt</Name><Description>CSF Lumboperitoneal Catheter System; Lumbar Catheter Kit</Description><Size>84cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1667</GroupID><ARTGs><ARTG>140359</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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=2.5mm, 1200mm long</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1667</GroupID><Suffix>Antisyphon function</Suffix><ARTGs><ARTG>181718</ARTG><ARTG>375142</ARTG></ARTGs><MinimumBenefit>1221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC584</BillingCode><Name>CSF - Distal Catheters</Name><Description>Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,25024</Description><Size>Distal cardiac/peritoneal catheters ID 1.3mm OD 2.5mm Length 90cm, ID 1.2mm, OD 2.1mm, Length 58cm, 90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>140357</ARTG><ARTG>130410</ARTG><ARTG>140360</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB329</BillingCode><Name>Miethke Peritoneal Catheter</Name><Description>Peritoneal catheter, barium impregnated, radio-opaque silicon
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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:
Inside diameter 1.2mm, Outside diameter 2.5mm.
FV075P: Ventricular catheter 180mm, graduated.
Deflector: Large.
FV078P: Ventricular catheter 250mm, graduated.
Deflector: Large.
Ventricular catheter with deflector (for pediatric application):
Inside diameter 1.2mm, Outside diameter 2.5mm.
FV076P: Ventricular catheter 180mm, graduated.
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>2024-11-01</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>2024-11-01</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.
FV074P: 180mm, graduated.
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal, Coating</Suffix><ARTGs><ARTG>130410</ARTG></ARTGs><MinimumBenefit>202</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal, Coating</Suffix><ARTGs><ARTG>141102</ARTG></ARTGs><MinimumBenefit>220</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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.
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: 
FV027T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm. 
FV054T - Diameter 14mm, Height 4.8mm, with integrated catheter 200mm (pediatric).
Sprung reservoir: 
FV044T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.
Flushing reservoir: 
FV034T - Diameter 20mm, Height 5.65mm, with integrated 600mm.
FV081T - Diameter 14mm, Height 4.8mm, with integrated catheter 600mm (pediatric).
Control reservoir: 
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>2024-11-01</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>MI</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>2024-11-01</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>145336</ARTG><ARTG>145332</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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:
FV030T: Diameter 20mm, Height 5.65mm.
FV040T: Diameter 14mm, Height 4.8mm (for pediatric application).
CSF port:
FV060T: Diameter 20mm, Height 5.65mm.
Burrhole reservoir:
FV028T: Diameter 20mm, Height 5.65mm.
FV029T: Diameter 20mm, Height 5.65mm with adjustable connector.
FV039T: Diameter 14mm, Height 4.8mm (for pediatric application).
Sprung reservoir:
FV043T: Diameter 20mm, Height 5.65mm.
Flushing reservoir:
FV033T: Diameter 20mm, Height 5.65mm.
FV035T: Diameter 14mm, Height 4.8mm (for pediatric application).
Control reservoir:
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>149297</ARTG><ARTG>140900</ARTG><ARTG>149298</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2961</GroupID><ARTGs><ARTG>375141</ARTG><ARTG>181718</ARTG></ARTGs><MinimumBenefit>794</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>426912</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW023</BillingCode><PriorBillingCodes><PriorBillingCode>ER130</PriorBillingCode></PriorBillingCodes><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>WW</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>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW024</BillingCode><PriorBillingCodes><PriorBillingCode>ER102</PriorBillingCode></PriorBillingCodes><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>WW</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>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ759</BillingCode><Name>SynchroMed III Pump</Name><Description>The implantable programmable infusion pump stores and delivers a prescribed drug to a specific site
</Description><Size>20 ml &amp; 40 ml</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1681</GroupID><Suffix>Variable Flow Rate</Suffix><ARTGs><ARTG>462226</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>14666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1681</GroupID><Suffix>Variable Flow Rate</Suffix><ARTGs><ARTG>389968</ARTG></ARTGs><MinimumBenefit>14666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ758</BillingCode><Name>SynchroMed III Patient Programmer Kit</Name><Description>Programmer kit houses the patient communicator and handset. The therapy apps are loaded onto the patient handset.
</Description><Size>One Size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1682</GroupID><ARTGs><ARTG>358310</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI048</BillingCode><Name>Intrathecal catheter accessory</Name><Description>Spinal needles and Stainless steel tunnelling rods</Description><Size>9.1-60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><ARTGs><ARTG>121280</ARTG><ARTG>121281</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>147</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI028</BillingCode><Name>Ascenda Intrathecal Catheter Accessory Kit</Name><Description>Intrathecal Catheter Accessory Kit Model 8785 includes accessories (bi-wing anchor with anchor dispense tool; anchor removal too; catheter connector with 2 colllets) to facilitate placement, connection, and removal of an implantable intrathecal catheter.</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><ARTGs><ARTG>431071</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>147</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>130061</ARTG><ARTG>128926</ARTG></ARTGs><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
Stent Length (mm): 15, 21, 24, 30</Size><SupplierCode>JV</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>2024-11-01</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>2024-11-01</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 7.0 mm. For an easy handling all sizes from 3.0  - 6.5 mm are deliverable through microcatheters with 0.0165 -   0.021  ID. This allows a sequential stent and coil placement without the changing of the microcatheter. The 8.0 mm diameter devices are deliverable through  microcatheters with 0.027 ID.</Description><Size>Diameter: 3.0 - 8.0mm  Length: 15 - 60 mm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>312950</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME209</BillingCode><Name>Leo+</Name><Description>Leo+ Stent</Description><Size>D 2.0mm L 12mm, 18mm, 25mm.
D 2.5mm L 12mm, 18mm, 25mm, 30mm, 35mm.
D 3.0mm L 12mm, 18mm, 25mm, 35mm 
D 3.5mm L 12mm, 18mm, 25mm, 30mm, 35mm, 50mm.
D 4.5mm L 15mm, 20mm, 25mm, 30mm, 40mm, 50mm, 75mm.
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>2024-11-01</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
Length: 15-40mm</Size><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ217</BillingCode><Name>Target Detachable Coils – Target Tetra</Name><Description>Detachable Platinum Coils </Description><Size>Coil diameter: 1.5-4.5mm, Coil Length: 2-10cm</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>170214</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ086</BillingCode><Name>Numen Coil Embolization System</Name><Description>The Medical Device consists of an implant coil attached to a delivery wire (pusher) within an introducer sheath. It is intended to endovascularly obstruct or occlude blood flow in vascular abnormalities of the neurovascular and peripheral vessels</Description><Size>Coil Length (cm)- 1.0-70.0.  Coil Secondary Diameter (mm)- 1.0-24.0 </Size><SupplierCode>RQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>413431</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB011</BillingCode><Name>Microplex Coils</Name><Description>Framing and filling coils</Description><Size>Diam: 1-24mm
Length: 1-68cm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137934</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB010</BillingCode><Name>Hydrocoils</Name><Description>Framing and filling coils with Hydrogel.</Description><Size>Diam: 1-24mm  Length: 1-50cm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137933</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>162494</ARTG><ARTG>162495</ARTG><ARTG>388356</ARTG><ARTG>149398</ARTG><ARTG>194132</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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;
Soft: Diameter 1-14mm, Length 2-45cm;
Extra Soft: Diameter 1-6mm, Length 1-20cm;
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>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
Lengths: 6-57cm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>182354</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
Lengths: 6-57cm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>182354</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
Lengths: 1-20cm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>182354</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>170214</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JZ001</BillingCode><Name>Wallaby Avenir Coil System</Name><Description>Platinum alloy coils attached to an implant delivery pusher which delivers the coil to the treatment site.  The pusher has a platinum iridium marker band to visualise coil position within a standard microcatheter which also has a radiopaque marker.</Description><Size>Diameter: 1mm - 25mm  Length: 1cm - 60cm</Size><SupplierCode>JZ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>389092</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC289</BillingCode><Name>Zilver PTX</Name><Description>The Zilver PTX Drug Eluting Peripheral Stent is a self-expanding stent made of nitinol and coated with the drug Paclitaxel.  The stent is preloaded in a 6.0 French delivery catheter.</Description><Size>6French: 5, 6, 7, 8 mm diameters in 20, 30, 40, 60, 80, 100, 120, 140mm lengths</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1624</GroupID><ARTGs><ARTG>279510</ARTG></ARTGs><MinimumBenefit>2042</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS353</BillingCode><Name>Promus PREMIER BTK</Name><Description>Everolimus-Eluting Platinum Chromium Stent System</Description><Size>Diameter 2.5-4mm, Length 20-38mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1624</GroupID><ARTGs><ARTG>302114</ARTG></ARTGs><MinimumBenefit>2042</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI060</BillingCode><Name>Endurant II AAA Abdominal Tube</Name><Description>Endurant II Endoluminal Stent Graft System - Abdominal Tube</Description><Size>Proximal diameter: 23 to 36mm; Distal diameter: 23 to 36mm; Covered length: 70mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1626</GroupID><ARTGs><ARTG>202471</ARTG></ARTGs><MinimumBenefit>4378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY006</BillingCode><Name>E-tegra Aorto-Uni-Iliac</Name><Description>E-tegra Stent Graft System - AUI</Description><Size>Length (covered): 105mm  Diameter (proximal): 23-36mm  Diameter (distal): 13mm</Size><SupplierCode>JY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1627</GroupID><ARTGs><ARTG>388371</ARTG></ARTGs><MinimumBenefit>9206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC998</BillingCode><Name>Endurant II AAA Aorto-Uni-Iliac</Name><Description>Endurant II Endoluminal Stent Graft System - AUI</Description><Size>Proximal diameter: 23 to 36mm; Distal daimeter: 14mm; Covered length: 102mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1627</GroupID><ARTGs><ARTG>197539</ARTG></ARTGs><MinimumBenefit>9206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC233</BillingCode><Name>Zenith Branch Endovascular Graft - Iliac Bifurcation</Name><Description>Bifurcated branch vessel stent graft with openings to connect the common iliac, sidebranch, and external iliac segments. Made of stainless steel and nitinol z-stents and woven polyester, mounted on H&amp;LB one shot delivery system</Description><Size>Common iliac lengths 45 or 61mm, external iliac lengths 41 or 58mm and distal cuff diameters 10 or 12mm</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1629</GroupID><ARTGs><ARTG>138930</ARTG></ARTGs><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT276</BillingCode><Name>GORE EXCLUDER Iliac Branch Endoprosthesis</Name><Description>The GORE EXCLUDER IBE provides an endovascular option for treatment allowing preservation of perfusion to the internal iliac, versus occlusion and covering the internal iliac or open surgical alternatives. The The GORE EXCLUDER IBE consists of two components (Iliac Branch Component: 1 of 2).</Description><Size>CEB231010 - Internal Iliac Diameter:  6.50-9mm
CEB231210 - Internal Iliac Diameter: 10-11mm
CEB231410 - Internal Iliac Diameter: 12 - 13.5mm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1629</GroupID><ARTGs><ARTG>232968</ARTG></ARTGs><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC263</BillingCode><Name>Zenith Fenestrated AAA Endovascular Graft with Flexor</Name><Description>Proximal Fenestrated body with Flexor sheath</Description><Size>1 or 2 internal stents, 24 - 36mm Diameter, 73 - 129mm Length</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1630</GroupID><ARTGs><ARTG>138797</ARTG></ARTGs><MinimumBenefit>7726</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC995</BillingCode><Name>Endurant II AAA Iliac Extension</Name><Description>Endurant II AAA Iliac Extension</Description><Size>Proximal diameter: 10 to 28mm; Distal diameter: 10 to 28mm; Covered length: 82mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>197654</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC994</BillingCode><Name>Endurant II AAA Contralateral Iliac Limb</Name><Description>Endurant II Endoluminal Stent Graft System - Contralateral Iliac Limb</Description><Size>Proximal diameter: 16mm; Distal diameter: 10 to 28mm; Covered length: 82mm; 93mm; 124mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>197541</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY004</BillingCode><Name>E-tegra Iliac Extension</Name><Description>E-tegra Stent Graft System - Iliac Extension</Description><Size>Diameter (distal): 10-27mm    Diameter (proximal): 13-27    Length (usable): 50mm    Length (total): 80mm</Size><SupplierCode>JY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>388373</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU005</BillingCode><Name>Anaconda Endovascular Graft System</Name><Description>Iliac Leg, Ultrathin woven polyester, nitinol ring stents, tantalum markers</Description><Size>8 - 23mm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>172404</ARTG><ARTG>173321</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU004</BillingCode><Name>Anaconda Endovascular Graft System</Name><Description>Iliac Extension Cuff. Ultrathin woven polyester, nitinol ring stents, tantalum markers

</Description><Size>8 - 18mm

</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>172404</ARTG><ARTG>173321</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT277</BillingCode><Name>GORE EXCLUDER Iliac Branch Endoprosthesis</Name><Description>The GORE EXCLUDER IBE provides an endovascular option for treatment allowing for preservation of perfusion to the internal iliac, versus occlusion and covering the internal iliac or open surgical procedures. 
The GORE EXCLUDER IBE consists of two components (Internal Iliac Component: 2 of 2).</Description><Size>HGB 161007 - Internal Iliac Diameter: 6.5 - 9mm
HGB 161207 - Internal Iliac Diameter: 10-11mm
HGB 161407 - Internal Iliac Diameter: 12 - 13.5mm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>232968</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW010</BillingCode><PriorBillingCodes><PriorBillingCode>DO014</PriorBillingCode></PriorBillingCodes><Name>InCraft AAA Stent-Graft System - Iliac Limb/Extension</Name><Description>Contralateral/Ipsilateral lliac limbs and extensions</Description><Size>10-24mm diameter, 80-140mm length</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>231895</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY003</BillingCode><Name>E-tegra Contralateral Leg</Name><Description>E-tegra Stent Graft System - Contralateral Leg</Description><Size>Diameter (Proximal): 15mm    Diameter (Distal): 10-25mm    Length (Useable): 50-105mm    Length (Total): 80-135mm</Size><SupplierCode>JY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>388370</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU041</BillingCode><Name>Anaconda Endovascular Graft System</Name><Description>Flared iliac limb, Ultrathin woven polyester, nitinol ring stents, tantalum markers</Description><Size>Diameter: Proximal end 10-17mm, distal end 12-23mm: Length 80-130mm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>173321</ARTG><ARTG>172404</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC330</BillingCode><Name>Zenith Alpha Spiral-Z Endovascular Leg</Name><Description>Iliac leg graft</Description><Size>Distal Diameters: 9-24mm.  Graft lengths: 42-125mm.</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>229923</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU057</BillingCode><Name>Anaconda AAA Stent Graft System</Name><Description>Ultrathin woven polyester, nitinol ring stents, tantalum markers (longer legs lengths &gt;150mm).

Long limbs have not got ARTG, but the Anaconda Stent Graft System does with regular limbs (ARTG173321 and 172404).

The Anaconda AAA Stent Graft System is a device support structure that expands and stays in place inside a blood carrying vessel for isolated iliac aneurysm repair and a component of the  AAA stent graft system.  It is delivered to the intended landing zone by a delivery system, where the stent is expanded to provide support for the vessel   The stent graft remains in place as a permanent implant.

The patient is hospitalised and undergoing invasive surgery of implantation of the stent graft.</Description><Size>Tapered Legs
Outer Diameter (Proximal 12mm; Distal 10mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 10mm) x  Length 170mm

Flared Legs
Outer Diameter (Proximal 12mm; Distal 13mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 13mm) x  Length 170mm
Outer Diameter (Proximal 12mm; Distal 15mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 15mm) x  Length 170mm
Outer Diameter (Proximal 12mm; Distal 17mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 17mm) x  Length 170mm
Outer Diameter (Proximal 12mm; Distal 19mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 19mm) x  Length 170mm 
Outer Diameter (Proximal 12mm; Distal 21mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 21mm) x  Length 170mm 
Outer Diameter (Proximal 12mm; Distal 23mm) x  Length 150mm
Outer Diameter (Proximal 12mm; Distal 23mm) x  Length 170mm 

Straight Legs
Outer Diameter 12mm x  Length 160mm
Outer diameter 12mm x  Length 180mm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><Suffix>L (long length, &gt;150mm)</Suffix><ARTGs><ARTG>172404</ARTG></ARTGs><MinimumBenefit>3926</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC996</BillingCode><Name>Endurant II AAA Contralateral Iliac Limb</Name><Description>Endurant II Endoluminal Stent Graft System - Contralateral Iliac Limb</Description><Size>Proximal diameter: 16mm; Distal diameter: 10 to 28mm; Covered length: 156mm, 199mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><Suffix>L (long length, &gt;150mm)</Suffix><ARTGs><ARTG>197541</ARTG></ARTGs><MinimumBenefit>3926</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT188</BillingCode><Name>EXCLUDER AAA Endovascular Prostheses</Name><Description>AAA Stent Graft Nitinol &amp; ePTFE Two piece system (2/2) Contralateral Limb</Description><Size>Diameters: 12, 14.5, 23, 27mm
Lenghts: 10, 12, 14cm
Diameters: 16, 18, 20mm
Lenghts: 9.5, 11.5, 13.5cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>158680</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT190</BillingCode><Name>Excluder AAA Endovascular Prostheses</Name><Description>Abdominal Stent Graft Nitinol &amp; ePTFE - Iliac Extender</Description><Size>Diameters: 10, 12, 14.5mm
Lengths: 7cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>158682</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC286</BillingCode><Name>Zenith® Spiral-Z AAA lliac Legs with Z-Trak™ Introduction System</Name><Description>Zenith® Spiral-Z AAA lliac Leg</Description><Size>Proximal Diameter - 13mm
Distal Diameter - 9mm to 24 mm
Working Length - 39 mm to 122 mm</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1632</GroupID><ARTGs><ARTG>184456</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC203</BillingCode><Name>Talent Occluder System</Name><Description>Nitinol stents attached to polyester graft sealed both ends</Description><Size>Standard Sizes, 8 - 24mm x 31 - 35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1633</GroupID><ARTGs><ARTG>197552</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU013</BillingCode><Name>Gelweave Graft</Name><Description>Bifurcated, Polyester, Woven</Description><Size>12mmx 6mmx 45 cm to 24mmx12mm x 45cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1637</GroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB027</BillingCode><Name>Vascular Uni - Graft - Bifurcated</Name><Description>Vascular graft</Description><Size>12x7 to 12x12</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1637</GroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU014</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Bifurcated, Polyester, Knitted</Description><Size>12mmx6mmx45cm to 24mmx12mmx45cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1637</GroupID><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX020</BillingCode><Name>Maquet InterVascular Bifurcated Vascular Grafts</Name><Description>Bifurcated Vascular Grafts</Description><Size>Diameter – 12mmx6mm – 24mmx12mm  Length - 50cm </Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1637</GroupID><ARTGs><ARTG>145507</ARTG><ARTG>145515</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT006</BillingCode><Name>Gore-Tex Stretch Bifurcated Graft</Name><Description>Stretch Bifurcated Graft with Thin Walled Limbs (ePTFE)</Description><Size>12x6mm to 24x12mm 40-50cm long</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1637</GroupID><ARTGs><ARTG>11169</ARTG><ARTG>143264</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX022</BillingCode><Name>Intergard Knitted</Name><Description>Knitted Axillobifemoral Radially Supported</Description><Size>Diameter - 8x6x6mm - 10x8x8mm  Total body/branch length 100cm - 55cm   Radially Supported length 20-60cm  </Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1638</GroupID><ARTGs><ARTG>145509</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX021</BillingCode><PriorBillingCodes><PriorBillingCode>MQ027</PriorBillingCode></PriorBillingCodes><Name>Intergard W</Name><Description>Woven Aortic Arch</Description><Size>Body Diameter 20mm - 36mm  Limbs Diameter 8 - 10mm</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1638</GroupID><ARTGs><ARTG>145514</ARTG><ARTG>145513</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU018</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Axillo-bifemoral, Polyester, Knitted, Externally reinforced</Description><Size>8x8mm/100x60cm; 8x7mm/90x40cm; 10x8mm/90x40cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1638</GroupID><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT216</BillingCode><Name>Gore-Tex Axillobifemoral Vascular Graft</Name><Description>Stretch vascular graft with removable rings (ePTFE)</Description><Size>Diameter 8mm x 90cm 40cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1638</GroupID><ARTGs><ARTG>143248</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT214</BillingCode><Name>Gore-Tex Intering Vascular Graft</Name><Description>Internally radially supported vascular graft (ePTFE)</Description><Size>4-6 tapered diameter 38cm radial support length 45cm length; 4-7 tapered diameter 38cm radial support length 45cm length; 6mm diameter 40cm radial support length 40cm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>143262</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER173</BillingCode><Name>LifeSpan ePTFE vascular grafts-supported, tapered or end modified 50-80 cm</Name><Description>LifeSpan ePTFE vascular grafts-supported, end modified or tapered, regular or thin wall, 4-7 mm dia x 50-80 cm length; spiral length 5-70 cm</Description><Size>4-7 mm dia x 50-80 cm length; spiral length 5-70 cm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX023</BillingCode><PriorBillingCodes><PriorBillingCode>MQ013</PriorBillingCode></PriorBillingCodes><Name>Advantra PTFE Vascular Graft with Graft Deployment System</Name><Description>Trilaminate PTFE. Vascular Access Graft</Description><Size>4mm - 8mm diameter. 50 - 80cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><Suffix>ID (immediate dialysis)</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>1878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER172</BillingCode><Name>LifeSpan ePTFE vascular grafts-tapered or end modified-regular or thin wall, 40-70 cm</Name><Description>LifeSpan ePTFE vascular grafts-unsupported, tapered or end modified, 4-7 mm dia x 40-70 cm long  </Description><Size>4-7 mm dia x 40-70 cm long; </Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT273</BillingCode><Name>Standard Wall Grafts</Name><Description>Standard Wall Grafts Stretch Tapered (ePTFE)</Description><Size>Diameter 4-6mm &amp; 4-7mm, Length 45 48cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><ARTGs><ARTG>137804</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX024</BillingCode><PriorBillingCodes><PriorBillingCode>MQ012</PriorBillingCode></PriorBillingCodes><Name>Advantra PTFE Vascular Graft</Name><Description>Tapered Trilaminate PTFE Graft with Graft Deployment System</Description><Size>4mm - 8mm diameter, 10 - 40cm lengths</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA256</BillingCode><Name>Bard Vascular Graft</Name><Description>PTFE graft</Description><Size>6-10mm diameter, 40 - 80cm length
4mm - 8mm diameter, 10cm - 50cm length
7 &amp; 8mm diameter. 50, 60, 70, 80cm lengths</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><ARTGs><ARTG>134452</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB026</BillingCode><Name>Vascular Uni - Graft - Tapered</Name><Description>Vascular graft</Description><Size>12x6 to 24x12</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1639</GroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>770</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ268</BillingCode><Name>Lutonix Drug Coated Balloon PTA Catheter</Name><Description>The Lutonix Drug Coated Balloon PTA Catheter consists of an over the wire catheter with a drug coated balloon fixed at the distal tip. The balloon is coated with a specialized formulation that includes the drug, paclitaxel. There are three different Models available depending on guidewire compatibility.</Description><Size>Balloon Length (mm)*: 20-300 Catheter Length (cm)*: 75-150 Balloon Diameter (mm)*: 2-12   (*Range across all three models)</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>296</SubCategoryID><GroupID>2967</GroupID><ARTGs><ARTG>364691</ARTG><ARTG>231258</ARTG><ARTG>231530</ARTG></ARTGs><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ646</BillingCode><Name>IN.PACT 018 Paclitaxel-coated PTA Balloon Catheter</Name><Description>The FreePac drug coating on the balloon of the IN.PACT 018 DCB consists of the drug paclitaxel and the excipient urea. </Description><Size>Balloon Diameter: 4 to 7 mm; Balloon Length: 40 to 150 mm; Catheter Usable Length: 80 to 130 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>296</SubCategoryID><GroupID>2967</GroupID><ARTGs><ARTG>449546</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI507</BillingCode><Name>IN.PACT Admiral Paclitaxel-Coated PTA Balloon Catheter</Name><Description>The FreePac™ drug coating on the balloon of the IN.PACT Admiral DCB consists of the drug paclitaxel and the excipient urea. </Description><Size>The IN.PACT Admiral DCB variations are: Balloon Diameter: 4 -12mm; Balloon Length: 40 to 250 mm; Catheter Usable Length: 40 to 130 cm.  </Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>296</SubCategoryID><GroupID>2967</GroupID><ARTGs><ARTG>228876</ARTG></ARTGs><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS424</BillingCode><Name>Ranger/Ranger SL Paclitaxel Coated Balloon Catheter</Name><Description>Peripheral angioplasty balloon catheter, drug-eluting  </Description><Size>Balloon Length: 30-200 mm; Diameter: 2.00 - 8.00 mm; </Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>296</SubCategoryID><GroupID>2967</GroupID><ARTGs><ARTG>300172</ARTG><ARTG>300173</ARTG></ARTGs><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT255</BillingCode><Name>Passeo-18 Lux</Name><Description>Paclitaxel releasing PTA Balloon Catheter</Description><Size>Length   40, 80, 120mm     Diameter   4F:2, 2.5, 3, 3.5, 4mm   5F:5, 6, 7mm</Size><SupplierCode>BT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>296</SubCategoryID><GroupID>2967</GroupID><ARTGs><ARTG>275026</ARTG></ARTGs><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VA001</BillingCode><Name>Venous Valve Ring</Name><Description>Dacron/silicone variable diameter ring</Description><Size>52mmx15mmx0.09 mm</Size><SupplierCode>VA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>210</SubCategoryID><GroupID>1641</GroupID><ARTGs><ARTG>64017</ARTG></ARTGs><MinimumBenefit>921</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA010</BillingCode><Name>Bard Inferior Vena Cava Filter</Name><Description>Nitinol self expanding vena cava filter</Description><Size>For IVC with a diameter less than or equal to 28mm diameter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>150739</ARTG><ARTG>150742</ARTG><ARTG>198866</ARTG><ARTG>198865</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IZ001</BillingCode><Name>ALN Vena Cava Filter</Name><Description>The ALN Vena Cava Filter is implanted into the SVC via the femoral, brachial and jugular vein to prevent pulmonary emboli (PEs).</Description><Size>One size, diameter up to 32mm</Size><SupplierCode>IZ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>184697</ARTG><ARTG>184698</ARTG><ARTG>184696</ARTG><ARTG>184700</ARTG><ARTG>185255</ARTG><ARTG>184699</ARTG><ARTG>184695</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB019</BillingCode><Name>Option ELITE Vena Cava Filter</Name><Description>The Option ELITE Vena Cava Filter is designed for the prevention of recurrent pulmonary embolism via percutaneous delivery in the inferior vena cava.</Description><Size>Suitable for vessels up to 32mm</Size><SupplierCode>CB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>284696</ARTG><ARTG>283794</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC329</BillingCode><Name>Cook Celect Platinum Vena Cava Filter</Name><Description>The Cook Celect Platinum Vena Cava Filter is made of a biocompatible cobalt chromium alloy.  Platinum markers are located on the end of the primary legs for increased radiopacity.</Description><Size>Length: 49mm
Diameter: 30mm</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>219274</ARTG><ARTG>219275</ARTG><ARTG>219276</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW013</BillingCode><PriorBillingCodes><PriorBillingCode>DO017</PriorBillingCode></PriorBillingCodes><Name>OPTEASE retrievable vena cava filter</Name><Description>OPTEASE is a laser cut nitinol vena cava filter, used to treat patients at high risk of pulmonary embolisation</Description><Size>Suitable for vessels up to 30mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>186230</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS364</BillingCode><Name>Sentinel Cerebral Protection System</Name><Description>The device Sentinel Cerebral Protection System (Sentinel) is percutaneously delivered to capture and remove debris dislodged during endovascular procedures. The system utilises an embolic filter delivered to the brachiocephalic artery (Proximal Filter), and a second embolic filter delivered to the left common carotid artery (Distal Filter). The Sentinel Cerebral Protection System consists of 6 French catheter, with deployable proximal and distal filters, articulating sheath and integral handle assembly.</Description><Size>Proximal filter 15mm, Distal filter 7-10mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><Suffix>Multi filter</Suffix><ARTGs><ARTG>319101</ARTG></ARTGs><MinimumBenefit>3288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS192</BillingCode><Name>Spider FX Embolic Protection Device</Name><Description>The Spider FX is a rapid exchange device percutaneously delivered distal embolic protection device with components designed to capture and remove debris from vessels during interventional procedures in the vasculature.</Description><Size>Filter:  3.0 - 7.0mm; Capture Wire:  190 and 320cm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><ARTGs><ARTG>151258</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ449</BillingCode><Name>Emboshield</Name><Description>Embolic Protection Device, including delivery system, device specific procedural wire, filter for capturing embolic matter and retrieval system</Description><Size>Large and small. Two wire lengths: 190cm for Monorail system and 315cm for Over the wire</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><ARTGs><ARTG>168012</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW004</BillingCode><PriorBillingCodes><PriorBillingCode>DO008</PriorBillingCode></PriorBillingCodes><Name>Angioguard RX Emboli Capture Guidewire System</Name><Description>Distal protection device and delivery system</Description><Size>Length 180cm, Diameter 0.014"; basket sizes 4mm, 5mm, 6mm, 7mm and 8mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><ARTGs><ARTG>116900</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS085</BillingCode><Name>Filterwire EZ</Name><Description>Embolic Protection Device</Description><Size>Vessel compatibility 3.5mm - 5.5mm and delivery system lengths up to 300cm.</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><ARTGs><ARTG>167933</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL003</BillingCode><PriorBillingCodes><PriorBillingCode>MB026</PriorBillingCode></PriorBillingCodes><Name>WIRION Embolic Protection System</Name><Description>Temporary arterial embolic protection system</Description><Size>Blood vessel diameter: 3.5 - 6.0mm
Filter unit length: 22.5mm
Pore size: 120μ
Crossing profile: 3.2F
Guide catheter/Sheath: 6F
Delivery catheter length: 145cm
Retrieval catheter length: 146cm</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1643</GroupID><ARTGs><ARTG>280883</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ452</BillingCode><PriorBillingCodes><PriorBillingCode>AY033</PriorBillingCode></PriorBillingCodes><Name>Proglide</Name><Description>Suture Mediated Closure Device</Description><Size>5 - 8 French</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>300736</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ561</BillingCode><Name>Manta Vascular Closure Device</Name><Description>The MANTA Device is a biomechanical vascular closure device designed specifically for
large bore femoral arterial access site closure.</Description><Size>14F or 18F MANTA Closure Device</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><Suffix>L (Large)</Suffix><ARTGs><ARTG>395670</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW008</BillingCode><PriorBillingCodes><PriorBillingCode>DO012</PriorBillingCode></PriorBillingCodes><Name>EXOSEAL (TM) Vascular Closure Device</Name><Description>Vascular Closure Device</Description><Size>5 - 7F</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>176723</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU067</BillingCode><Name>Angio-Seal VAscular Closure Device - VIP</Name><Description>Angio-Seal Haemostatic Puncture Closure Device, Model VIP Platform</Description><Size>6F and 8F</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>306829</ARTG><ARTG>128525</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ459</BillingCode><Name>Perclose ProStyle Suture Mediated Closure and Repair System </Name><Description>Suture-Mediated Closure and Repair System</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>300736</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ463</BillingCode><PriorBillingCodes><PriorBillingCode>AY017</PriorBillingCode></PriorBillingCodes><Name>Starclose</Name><Description>6 Fr Exchange Sheath, Dilator, Guidewire, implantable nitinol clip pre-mounted on a Clip Applier</Description><Size>6 Fr</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>240055</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW015</BillingCode><PriorBillingCodes><PriorBillingCode>DO025</PriorBillingCode></PriorBillingCodes><Name>MYNX Control Vascular Closure Device</Name><Description>The MYNX CONTROL Vascular Closure Device is designed to achieve femoral artery hemostasis via delivery of an extravascular, water-soluble synthetic  hydrogel sealant, using a balloon catheter in conjunction with a standard procedural sheath. The sealant is made of a polyethylene glycol (PEG) material which expands upon contact with subcutaneous fluids to seal the  arteriotomy. The sealant is resorbed by the body within 30 days. A 10 ml locking syringe is used for balloon inflation and deflation.</Description><Size>5F, 6/7F</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>333853</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW005</BillingCode><PriorBillingCodes><PriorBillingCode>DO009</PriorBillingCode></PriorBillingCodes><Name>Mynx Vascular Closure Device</Name><Description>Water-soluble synthetic sealant made of a polyethylene glycol (PEG) The sealant is resorbed by the body within 30 days</Description><Size>5F, 6/7F</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>201265</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ451</BillingCode><PriorBillingCodes><PriorBillingCode>AY034</PriorBillingCode></PriorBillingCodes><Name>Prostar</Name><Description>Suture Mediated Closure Device - Closure of Large holes</Description><Size>Up to 24 French</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><Suffix>L (Large)</Suffix><ARTGs><ARTG>300736</ARTG></ARTGs><MinimumBenefit>608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU061</BillingCode><Name>FemoSeal Vascular Closure System</Name><Description>Haemostatic Puncture Closure Device</Description><Size>One Size</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>304029</ARTG><ARTG>263892</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS374</BillingCode><PriorBillingCodes><PriorBillingCode>DE294</PriorBillingCode></PriorBillingCodes><Name>Bead Block</Name><Description>Polyvinyl Alcohol hydrogel microspheres in pre-loaded syringe</Description><Size>2ml- (100 - 300, 300 - 500, 500 - 700, 700 - 900, 900 - 1200 microns</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1645</GroupID><ARTGs><ARTG>271535</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC044</BillingCode><Name>PVA Embolisation particles</Name><Description>Embolisation &amp; Occlusion</Description><Size>Particle Size Ranges (microns) 50-100, 100-200, 200-300,300-500, 500-700, 700-1000, 1000-1500, 1500-2000, 2000-2800</Size><SupplierCode>WA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1645</GroupID><ARTGs><ARTG>216797</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS034</BillingCode><Name>Contour PVA</Name><Description>Polyvinyl Alcohol (PVA) embolization particles spherical-shaped PVA</Description><Size>Up to 1200 micron, volume up to 2ml.</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1645</GroupID><ARTGs><ARTG>392004</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW012</BillingCode><Name>Bearing nsPVA</Name><Description>Bearing nsPVA are non-bioabsorbable embolization particles used for the embolization of peripheral hypervascularized tumors, including leiomyoma and
peripheral arteriovenous malformations (AVMs).</Description><Size>45-150 microns150-250 microns250-355 microns355-500 microns500-710 microns710-1000 microns1000-1180 microns</Size><SupplierCode>OW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1645</GroupID><ARTGs><ARTG>285716</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN025</BillingCode><Name>Penumbra POD Packing Coil</Name><Description>Platinum coil designed in a WAVE shape to behave like a liquid to compliment the Plug effect of the POD and pack densely, reducing reliance on thrombus formation. This packing coil does not have the traditional 3D shape formation of other coils so only has a measurement of length</Description><Size>5cm length  15cm length  30cm length  45cm length  60cm length</Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>235149</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ268</BillingCode><Name>Amplatzer Vascular Plug III</Name><Description>AVP III is a self-expanding, Nitinol mesh occlusion device.</Description><Size>Size: (mm): 4, 6, 8, 10, 10, 12, 12, 14, 14  Long Axis (mm): 4, 6, 8, 10, 10, 12, 12, 14, 14 Length (mm): 6.5</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>169352</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IZ002</BillingCode><Name>EOS Endoluminal Occlusion System</Name><Description>EOS is made of self-expandable Nitinol flat wire, serving as a supportive scaffold with significant radial strength, covered by impermeable ePTFE membrane for achievement of immediate occlusion of a peripheral vessel. This implant is pre-loaded on a delivery catheter with 2 deployment handles. This System will be inserted through a standard guide catheter (not included) up to the targeted segment.</Description><Size>3 to 5 mm of vessel diameter (6.1 mm diameter unconstrained)
4.5 to 8 mm of vessel diameter (9.1 mm diameter unconstrained)
7.5 to 11 mm of vessel diameter (12.2 mm diameter unconstrained)</Size><SupplierCode>IZ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>229075</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ265</BillingCode><Name>Amplatzer Vascular Plug</Name><Description>Self expandable nitinol wire mesh</Description><Size>Diameter 4mm - 16mm, Length 7 &amp; 8mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>114855</ARTG><ARTG>345216</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ269</BillingCode><Name>AMPLATZER Vascular Plug 4</Name><Description>The AMPLATZER Vascular Plug 4 (AVP4) is a self-expanding, Nitinol mesh occlusion device. The Device has a radiopaque marker band at each end and a micro screw attachment at one end for attaching to the delivery wire. The AVP4 fits through a 0.038 guidewire compatible diagnostic catheter allowing the use of the same catheter throughout the procedure rather than having to exchange the diagnostic catheter for a second delivery catheter to place a plug.</Description><Size>4mm 4 diameter 10.0 length  5mm 5 diameter 10.5 length  6mm 6 diameter 11.0 length  7mm 7 diameter 12.5 length  8mm 8 diameter 13.5 length</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>168673</ARTG><ARTG>345218</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN020</BillingCode><PriorBillingCodes><PriorBillingCode>PN016</PriorBillingCode></PriorBillingCodes><Name>POD Packing Coil</Name><Description>POD Packing coil is a soft shapeless coil up to 60cm in length designed to pack very densely behind POD to occlude arteries and veins throughout the peripheral vasculature.</Description><Size>15cm, 30cm, 45cm, 60cm lengths</Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>235149</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ266</BillingCode><Name>AMPLATZER Vascular Plug - II</Name><Description>The AMPLATZER Vascular Plug II is a self-expandable, multi-lobed cylindraical device made from a nitinol wire mesh.</Description><Size>3mm-22mm Diameter, 6mm-18mm Plug Length</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><Suffix>ids (integral delivery system)</Suffix><ARTGs><ARTG>345217</ARTG><ARTG>156560</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN024</BillingCode><Name>Penumbra POD Occlusion Device</Name><Description>The Peripheral Occlusion Device (POD) is compromised of a specifically designed platinum enbolisation coil with varied diameter and is attache to a composite pusher with a radiopaque positioning marker. The distal Anchor segment has a larger diameter to secure the coil in a straight or fast flowing vessel. The proximal segment has a softer and smaller diameter to ensure occlusion and stasis of the vessel. The device is transferred into the microcatheter and advanced under fluoroscopic guidance. The device may be fully deployed prior to detachment. the detachment handle is attached and advanced over the proximal ned of the delivery pusher and the the device is detached by using the retraction button on the handle for accurate placement</Description><Size>20cm Length - 3mm diameter  30cm Length - 3.25 - 4mm diameter  30cm Length - 4-5mm diameter  50cm Length - 5-6mm diameter  60cm Length - 6-8mm diameter  60cm Length - 8-10mm diameter  60cm Length - 10-12mm diameter  60cm Length - 12-14mm diameter</Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><ARTGs><ARTG>235149</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI185</BillingCode><Name>MVP Microvascular Plug System</Name><Description>MVP Microvascular Plug can be delivered through a microcatheter to enable rapid occlusion.</Description><Size>Unconstrained device diameter (mm): 5.3, 6.5, 9.2, &amp; 13.0</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><Suffix>Microcatheter</Suffix><ARTGs><ARTG>332241</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL006</BillingCode><Name>IMPEDE Embolization Plug</Name><Description>The IMPEDE Embolization Plug is a pushable embolization device comprised of a self-expanding porous Shape Memory Polymer (SMP) Plug and a proximal platinum/iridium markerband or distal pre-shaped helical Anchor Coil comprised of nitinol and platinum, and a proximal platinum marker band..  The device is supplied pre-loaded in an Introducer with the SMP Plug in a crimped state. It is designed to be delivered to the target vessel using a guidewire through a standard catheter/sheath. Upon deployment in the target vessel and exposure to an aqueous environment and body temperature, the SMP Plug will self-expand to embolize the target vessel.  The IMPEDE Embolization Plug System is packaged as a single unit and is provided sterile, non-pyrogenic, and is intended for single use only.  </Description><Size>5mm, 6 mm, 7mm, 8 mm, 10mm, 12 mm</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1648</GroupID><Suffix>Microcatheter</Suffix><ARTGs><ARTG>386855</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS190</BillingCode><Name>Onyx</Name><Description>DSMO/Liquid Embolic Material</Description><Size>18, 20, 34 (formulations)</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><ARTGs><ARTG>151837</ARTG></ARTGs><MinimumBenefit>2076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME229</BillingCode><Name>SQUID LIQUID EMBOLIC AGENT</Name><Description>SQUID is a non-adhesive, liquid embolic agent consisting of an ethylene vinyl alcohol (EVOH ) copolymer dissolved in DMSO (dimethyl sulfoxide), and suspended micronized tantalum powder to provide contrast for visualisation under fluoroscopy.  The SQUID Liquid Embolic System consists of a vial of SQUID, a vial of DMSO, two SQUID delivery syringes, one DMSO delivery syringe, two syringe adapters and 8 stickers to identify the vials of SQUID.  A SQUID-compatible delivery micro-catheter, the use of which is indicated for the neurovascular system (Sonic, Balt catheters) is used to access the embolization site.  The adapter is an interface between the SQUID delivery syringe and the delivery catheter.</Description><Size>12, 12LD, 18, 18LD formulations</Size><SupplierCode>ME</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><ARTGs><ARTG>262853</ARTG><ARTG>262852</ARTG></ARTGs><MinimumBenefit>2076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI208</BillingCode><Name>Onyx 6ml Kit</Name><Description>DMSO Liquid Embolic Material</Description><Size>6ml Kit</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><ARTGs><ARTG>151837</ARTG></ARTGs><MinimumBenefit>7265</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS191</BillingCode><Name>Onyx System</Name><Description>DSMO Liquid Embolic Material</Description><Size>500 Formulation</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><Suffix>ids (integral delivery system)</Suffix><ARTGs><ARTG>151837</ARTG></ARTGs><MinimumBenefit>4468</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX026</BillingCode><Name>Arrow Peripherally Inserted Central Catheterisation Sets</Name><Description>Range of Polyurethane single lumen peripherally inserted central catheters with or without stylet</Description><Size>3 Fr, range of lengths</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><ARTGs><ARTG>148782</ARTG><ARTG>148784</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX027</BillingCode><Name>Arrow Peripherally Inserted Central Catheterisation Sets  </Name><Description>Range of Polyurethane single lumen peripherally inserted central catheters with or without stylet</Description><Size>4 Fr, range of lengths</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><ARTGs><ARTG>148784</ARTG><ARTG>148782</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA212</BillingCode><Name>Peripherally Inserted Central Catheter</Name><Description>Valved, Power Injectable PICC, Single Lumen</Description><Size>4Fr - 6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>191603</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA268</BillingCode><Name>PowerGlide Pro</Name><Description>Single lumen, power injectable percutaneous catheter</Description><Size>18 - 22 Gauge</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>228968</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA273</BillingCode><Name>PowerMidline</Name><Description>Single lumen, power injectable percutaneous catheter</Description><Size>3Fr-4Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>228968</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA302</BillingCode><Name>Provena™ Midline Catheter</Name><Description>The Provena™ Midline Catheters are intended to be inserted into a patient's vascular system to sample blood, administer fluids and power injection of contrast media. The unique feature of Provena™ Midline Catheters is that they are configured with a smaller outer diameter with minimal reduction to the intraluminal area assisting in providing the optimal catheter to vein ratio, whilst still enabling good flow rates to ensure the therapy delivery is uncompromised.</Description><Size>3Fr single lumen</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>317521</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA184</BillingCode><Name>Peripherally Inserted Central Catheter</Name><Description>Power Injectable PICC, Single Lumen</Description><Size>3Fr - 6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>286034</ARTG><ARTG>286036</ARTG><ARTG>155226</ARTG><ARTG>286035</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS069</BillingCode><Name>BioFlo Midline</Name><Description>Percutaneous Catheter, Single Lumen, Power Injectable</Description><Size>Length: 20 cm  French Size: 3Fr - 5Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>312726</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS074</BillingCode><PriorBillingCodes><PriorBillingCode>ER134</PriorBillingCode></PriorBillingCodes><Name>Single Lumen Peripherally Inserted Central Catheter</Name><Description>Power injectable with Pressure Activated Safely Valve (PASV) technology</Description><Size>3F x55cm, 4F x 55cm, 5F x 55cm</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>178780</ARTG><ARTG>203831</ARTG><ARTG>175080</ARTG><ARTG>179150</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA308</BillingCode><Name>PowerGlide Pro™ Midline Cannula with Cue™ Needle Tracking</Name><Description>Single lumen, power injectable percutaneous catheter </Description><Size>Basic kits: 22G x 8 cm, 20G x 8 cm, 22G x 10 cm, 18G x 8 cm, 18G x 10 cm   </Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>317521</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS075</BillingCode><Name>Peripherally Inserted Central Catheter (PICC)</Name><Description>Peripherally Inserted Central Catheter, Single Lumen, Power Injectable </Description><Size>4Fr - 5Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>215418</ARTG><ARTG>215419</ARTG><ARTG>203832</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS078</BillingCode><Name>Peripherally Inserted Central Catheter, Single Lumen</Name><Description>Peripherally Inserted Central Catheter, Single Lumen, Anti-Thrombogenic Catheter  Material, Power Injectable</Description><Size>3Fr - 5Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>203832</ARTG><ARTG>215419</ARTG><ARTG>203831</ARTG><ARTG>215418</ARTG><ARTG>215412</ARTG><ARTG>215411</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX036</BillingCode><Name>Arrow single lumen pressure injectable peripherally inserted central catheter (PICC) sets</Name><Description>Single lumen pressure injectable peripherally inserted central catheter (PICC) sets</Description><Size>3, 4, Fr single lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths.</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>148784</ARTG><ARTG>278735</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ609</BillingCode><Name>Peripherally Inserted Central catheter - Arrowg+ard Blue Advance - Single Lumen</Name><Description>Peripherally Inserted Central Catheter, Single Lumen, Arrowg+ard Blue Advance Anti -Thrombogenic  and Anti -Microbial Catheter  Material, Power Injectable. </Description><Size>4Fr  , Single Lumen  </Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>402570</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA292</BillingCode><Name>PowerLine Single Lumen MicroIntroducer Kit</Name><Description>PowerLine 5 Fr Single Lumen, Polyurethane Catheter with Surecuff, MicroIntroducer Kit</Description><Size>5 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309588</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA291</BillingCode><Name>PowerHickman Single Lumen Microinducer with SureCuff (2cm &amp; 5 cm) with AirGuard</Name><Description>PowerHickman, 8 Fr Single Lumen, MicroIntroducer Kit with SureCuff (2 cm &amp; 5 cm)</Description><Size>8 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309584</ARTG><ARTG>309585</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA296</BillingCode><Name>PowerHickman, 8 Fr Single Lumen, Intermediate Kit with SureCuff  Airguard(5 cm)</Name><Description>PowerHickman, 8 Fr Single Lumen, Intermediate Kit with SureCuff Airguard(5 cm)</Description><Size>8Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309586</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA049</BillingCode><Name>Hickman/Broviac Catheters</Name><Description>Open-Ended CVC, Single Lumen</Description><Size>2.7Fr - 9.6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>145469</ARTG><ARTG>145466</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA282</BillingCode><Name>PowerHohn 5 Fr Single Lumen, Basic Kit</Name><Description>PowerHohn 5 Fr Single Lumen, Basic Kit</Description><Size>5 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>309587</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA220</BillingCode><Name>Groshong Peripherally Inserted Central Catheter</Name><Description>Closed-Ended, Power Injectable PICC, Single Lumen</Description><Size>5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>198806</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX061</BillingCode><Name>Arrow Pressure Injectable Midline</Name><Description>The Arrow Pressure Injectable Midline Catheter is a peripherally inserted intravenous catheter manufactured with medical grade, flexible polyurethane. The Arrow Midline is designed with a non-tapered catheter body and softens in-situ to be less traumatic to the vessel.   The Arrow Pressure Injectable Midline Catheter is indicated for peripheral access to the venous system for intravenous therapy, blood sampling, infusion, and pressure injection of contrast media. The maximum pressure of pressure injector equipment used with the Arrow Pressure Injectable Midline Catheter may not exceed 300 psi. The maximum pressure injection flow rate for the specific lumen being used for pressure injection is printed on the extension line hub.  </Description><Size>Single Lumen Pressure Injectable Midline, 4Fr, 20cm</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>371714</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA125</BillingCode><Name>Groshong Central Venous Catheter</Name><Description>Closed-Ended CVC, Single Lumen</Description><Size>5.5Fr - 9.5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>42589</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA129</BillingCode><Name>Groshong Peripherally Inserted Central Catheter</Name><Description>Closed-Ended PICC, Single Lumen</Description><Size>3Fr - 5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>42589</ARTG></ARTGs><MinimumBenefit>146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX030</BillingCode><Name>ARROWg+ard Blue Single Lumen Central Venous Catheters</Name><Description>A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter body.</Description><Size>CS-24301 - 16g x 20cm, Single Lumen, Adult
CS-24306E-16g x 16cm, Single Lumen Adult
CS-24701 - 14g x 20cm, Single Lumen Adult
CS-24706E -14g x 16cm, Single Lumen, Adult</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>156637</ARTG></ARTGs><MinimumBenefit>71</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ611</BillingCode><Name>Peripherally Inserted Central catheter - Arrowg+ard Blue Advance- Single Lumen  Max Barrier Ergo Kit</Name><Description>Peripherally Inserted Central Catheter, Single Lumen, Arrowg+ard Blue Advance Anti -Thrombogenic  and Anti -Microbial Catheter  Material, Power Injectable, Kit</Description><Size>4Fr  , Single Lumen  </Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1649</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>402570</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ612</BillingCode><Name>Peripherally Inserted Central catheter-Arrowg+ard Blue Advance- Multiple Lumen  Max Barrier Ergo Kit</Name><Description>Peripherally Inserted Central Catheter, Multiple Lumen, Arrowg+ard Blue Advance Anti -Thrombogenic  and Anti -Microbial Catheter  Material, Power Injectable, Max Barrier Ergo Kit</Description><Size>5Fr-6Fr</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>402570</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA290</BillingCode><Name>PowerLine Multi Lumen Airguard Intermediate Kit</Name><Description>PowerLine 6 Fr Multi Lumen, Polyurethane Catheter with Surecuff, AirGuard, Intermediate Kit</Description><Size>6 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309590</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA295</BillingCode><Name>PowerHickman, 9.5 Fr Multi Lumen, MicroIntroducer Kit with SureCuff (2 &amp;5 cm)</Name><Description>PowerHickman, 9.5 Fr Dual Lumen, MicroIntroducer Kit with SureCuff (2 &amp; 5 cm)</Description><Size>9.5 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309584</ARTG><ARTG>309585</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA289</BillingCode><Name>PowerHickman, 9.5 Fr Dual Lumen, Intermediate Kit with SureCuff (5 cm) &amp; Airguard</Name><Description>PowerHickman, 9.5 Fr Dual Lumen, Intermediate Kit with SureCuff (5 cm) &amp; Airguard</Description><Size>9.5 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309586</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA294</BillingCode><Name>PowerLine Multi Lumen without Airguard Intermediate Kit</Name><Description>PowerLine 6 Fr Multi Lumen, Polyurethane Catheter with Surecuff, Intermediate Kit</Description><Size>6 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309589</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA293</BillingCode><Name>PowerLine Multi Lumen MicroIntroducer Kit</Name><Description>PowerLine 5-6 Fr Multi Lumen, Polyurethane Catheter with Surecuff, MicroIntroducer Kit</Description><Size>5-6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu, pi</Suffix><ARTGs><ARTG>309588</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA126</BillingCode><Name>Groshong Central Venous Catheter</Name><Description>Closed-Ended CVC, Multiple Lumen</Description><Size>5.5Fr - 9.5 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>42589</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA209</BillingCode><Name>HemoStar Long Term Haemodialysis Catheter</Name><Description>Dialysis Catheter, Multiple Lumen</Description><Size>14.5Fr - 16Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>170529</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA051</BillingCode><Name>Hickman/Leonard Catheters</Name><Description>Open-Ended CVC, Multiple Lumen</Description><Size>7Fr - 12.5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>145469</ARTG><ARTG>145468</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA298</BillingCode><Name>PowerPICC SOLO²™ HF 5 French Triple Lumen Basic</Name><Description>A peripherally inserted central catheter made from specially formulated and processed medical grade materials. Each PowerPICC SOLO²™ catheter has a kink resistant, reverse tapered design. PowerPICC SOLO²™ is packaged in a tray with accessories for reliable long (greater than 30 days) or short (less than 30 days) term vascular access.    The PowerPICC SOLO²™ catheter valve controls the flow of fluids to provide clamp-free infusion therapy. Positive pressure into the catheter (gravity, pump, syringe) will open the valve, allowing fluid infusion. When negative pressure (aspiration) is applied, the valve opens allowing for the withdrawal of blood into a syringe.</Description><Size>5 French Triple Lumen</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>325434</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA283</BillingCode><Name>PowerHohn 6 Fr Multi Lumen, Basic Kit</Name><Description>PowerHohn 6 Fr Dual Lumen, Basic Kit</Description><Size>6 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>309587</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA303</BillingCode><Name>Provena™ Midline Catheter</Name><Description>The Provena™ Midline Catheters are intended to be inserted into a patient's vascular system to sample blood, administer fluids and power injection of contrast media. The unique feature of Provena™ Midline Catheters is that they are configured with a smaller outer diameter with minimal reduction to the intraluminal area assisting in providing the optimal catheter to vein ratio, whilst still enabling good flow rates to ensure the therapy delivery is uncompromised.</Description><Size>4Fr dual lumen  </Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>317521</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ610</BillingCode><Name>Peripherally Inserted Central catheter - Arrowg+ard Blue Advance- Multiple Lumen</Name><Description>Peripherally Inserted Central Catheter, Muliple Lumen, Arrowg+ard Blue Advance Anti -Thrombogenic  and Anti -Microbial Catheter  Material, Power Injectable. </Description><Size>5Fr-6Fr</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>402570</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA213</BillingCode><Name>Peripherally Inserted Central Catheter</Name><Description>Valved, Power Injectable PICC, Multiple Lumen</Description><Size>4Fr-6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>191603</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA274</BillingCode><Name>PowerMidline</Name><Description>Multiple lumen, power injectable percutaneous catheter</Description><Size>4Fr - 5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>228968</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA299</BillingCode><Name>PowerPICC SOLO²™ HF 5 French Triple Lumen 3CG</Name><Description>PowerPICC SOLO²™ HF 5-Fr Triple Lumen 3CG comes with a Sherlock 3CG stylet which is made of specifically formulated materials designed to aid in the placement of peripherally inserted central catheters. The stylet material provides internal reinforcement to aid in catheter placement. The Sherlock 3CG stylet may be used with the Sherlock 3CG Tip Confirmation System (TCS) to provide catheter tip placement information during the procedure.    The Sherlock 3CG stylet, Sherlock 3CG TCS system, and the Site~Rite 8 Ultrasound System, include a comprehensive, integrated set of PICC placement tools such as vein location, lumen size visualisation, needle guided vein access, catheter tip orientation, catheter tip depth, catheter tip placement using ECG, and ECG placement documentation. In most instances, this removes the need for confirming PICC tip placement through radiological methods.   </Description><Size>5 French Triple Lumen</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>325434</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA183</BillingCode><Name>Peripherally Inserted Central Catheter</Name><Description>Power Injectable PICC, Multiple Lumen</Description><Size>4Fr - 6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>286036</ARTG><ARTG>286037</ARTG><ARTG>286039</ARTG><ARTG>286034</ARTG><ARTG>286038</ARTG><ARTG>155226</ARTG><ARTG>286035</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA300</BillingCode><Name>PowerPICC SOLO²™ HF 5 French Triple Lumen Radiology</Name><Description>A peripherally inserted central catheter made from specially formulated and processed medical grade materials. Each PowerPICC SOLO²™ catheter has a kink resistant, reverse tapered design. PowerPICC SOLO²™ is packaged in a tray with accessories for reliable long (greater than 30 days) or short (less than 30 days) term vascular access.    The PowerPICC SOLO²™ catheter valve controls the flow of fluids to provide clamp-free infusion therapy. Positive pressure into the catheter (gravity, pump, syringe) will open the valve, allowing fluid infusion. When negative pressure (aspiration) is applied, the valve opens allowing for the withdrawal of blood into a syringe.  </Description><Size>5 French Triple Lumen with 70cm Nitinol Guidewire  5 French Triple Lumen with 135cm Nitinol Guidewire</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>325434</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX028</BillingCode><Name>Arrow Peripherally Inserted Central Catheterisation Sets</Name><Description>Range of Polyurethane double lumen peripherally inserted central catheters with or without stylet</Description><Size>4 and 5 Fr, range of lengths</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><ARTGs><ARTG>148782</ARTG><ARTG>148784</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA130</BillingCode><Name>Groshong Peripherally Inserted Central Catheter</Name><Description>Closed-Ended PICC, Multiple Lumen</Description><Size>3Fr - 5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><ARTGs><ARTG>42589</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS077</BillingCode><Name>Peripherally Inserted Central Catheter, Multiple Lumen</Name><Description>Peripherally Inserted Central Catheter, Single Lumen, Anti-Thrombogenic Catheter Material, Power Injectable</Description><Size>5Fr - 6Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>203831</ARTG><ARTG>215411</ARTG><ARTG>203832</ARTG><ARTG>215412</ARTG><ARTG>215418</ARTG><ARTG>215419</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS071</BillingCode><Name>BioFlo Midline</Name><Description>Percutaneous Catheter, Dual Lumen, Power Injectable</Description><Size>Length: 20 cm  French Size: 5Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>312726</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS076</BillingCode><Name>Peripherally Inserted Central Catheter (PICC)</Name><Description>Peripherally Inserted Central Catheter, Multiple Lumen, Power Injectable</Description><Size>5Fr - 6Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>215418</ARTG><ARTG>215419</ARTG><ARTG>203832</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS080</BillingCode><PriorBillingCodes><PriorBillingCode>MS072</PriorBillingCode><PriorBillingCode>MS073</PriorBillingCode></PriorBillingCodes><Name>Peripherally Inserted Central Catheter, Multiple Lumen</Name><Description>Power injectable with Pressure Accivated Safety Valve (PASV) technology</Description><Size>5Fr x 55cm (Dual Lumen), 6Fr x 55cm (Dual Lumen), 6Fr x 55cm (Triple Lumen)</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>179150</ARTG><ARTG>175080</ARTG><ARTG>203830</ARTG><ARTG>178780</ARTG><ARTG>203831</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX056</BillingCode><Name>Arrow Pressure Injectable Multi-Lumen Central Venous Catheterisation Kit</Name><Description>7F x 20CM Pressure Injectable Central Venous Catheter with Insertion Kit</Description><Size>7F x 20CM</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>142543</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX062</BillingCode><Name>Arrow Pressure Injectable Midline</Name><Description>The Arrow Pressure Injectable Midline Catheter is a peripherally inserted intravenous catheter manufactured with medical grade, flexible polyurethane. The Arrow Midline is designed with a non-tapered catheter body and softens in-situ to be less traumatic to the vessel.   The Arrow Pressure Injectable Midline Catheter is indicated for peripheral access to the venous system for intravenous therapy, blood sampling, infusion, and pressure injection of contrast media. The maximum pressure of pressure injector equipment used with the Arrow Pressure Injectable Midline Catheter may not exceed 300 psi. The maximum pressure injection flow rate for the specific lumen being used for pressure injection is printed on the extension line hub.  </Description><Size>Double Lumen Pressure Injectable  Midline, 5Fr , 20cm </Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>371714</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX035</BillingCode><Name>Arrow multi lumen pressure injectable peripherally inserted central catheter (PICC) sets</Name><Description>Arrow multi lumen pressure injectable PICC (peripherally inserted central catheter) sets</Description><Size>4, 5, 6Fr multi lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths. Double &amp; triple Lumen configurations.</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>278735</ARTG><ARTG>180279</ARTG><ARTG>148784</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX043</BillingCode><Name>Pressure Injectable ARROWg+ard® Blue Plus Antimicrobial Multi-Lumen Central Venous Catheters</Name><Description>Pressure Injectable Multi Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation of the internal and external catheter with Chlorhexidine and Silver Sulphadiazine.</Description><Size>CS42703HP: 16cm x 7Fr Triple Lumen Catheter
CS45703HP: 20cm x 7Fr Triple Lumen Catheter
CS42854HP: 16cm x 8.5Fr Quad Lumen Catheter
CS45854HP: 20cm x 8.5Fr Quad Lumen Catheter</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>A (Anti-infective Agent Coating), pi (power injection)</Suffix><ARTGs><ARTG>177098</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX032</BillingCode><Name>ARROWg+ard Blue Double &amp; Triple Lumen Central Venous Catheters</Name><Description>A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material</Description><Size>CS-24402 - 4Fr x 13cm, Dual Lumen CS-22502 -5Fr x 5cm, Dual Lumen CS-25402 - 4Fr x 8cm, Dual Lumen CS-25502 - 5Fr x 12cm, Dual Lumen
CS-22702E - 7Fr x 16cm, Double Lumen CS-26702 - 7Fr x 20cm, Double Lumen CS-27702E - 7Fr x 20cm, Double Lumen CS-25553 - 5.5Fr x 8cm, Triple Lumen CS-22703E - 7Fr x 16cm, Triple Lumen CS-26553 -5.5Fr x 13cm, Triple Lumen CS-24703E - 7Fr x 30cm, Triple Lumen
CS-25703E - 7Fr x 20cm, Triple Lumen</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>156637</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX033</BillingCode><Name>ARROWg+ard Blue Plus QUAD Lumen Central Venous Catheters</Name><Description>Central Venous Catheters (of various lengths, sizes and lumen configurations with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)</Description><Size>CS-42854E - 8.5Fr x 16cm, Quad Lumen CS-45854E - 8.5Fr x 20cm, Quad Lumen</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>157350</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX031</BillingCode><Name>ARROWg+ard Four &amp; Five Lumen Central Venous Catheters</Name><Description>A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material</Description><Size>CS-22854E - 8.5 Fr x 16cm, Quad Lumen
CS-25854E - 8.5Fr x 20cm, Quad Lumen
CS-22855 - 8.5 x 16cm, Five Lumen
CS-25855 - 8.5Fr x 20cm, Five Lumen</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>156637</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX034</BillingCode><Name>ARROWg+ard Blue Plus Double &amp; Triple Lumen Central Venous Catheters</Name><Description>Double &amp; Triple  Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chlorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)</Description><Size>CS-45802E - 8 Fr x 20cm, Dual Lumen CS-46702E - 7Fr x 20cm, Dual Lumen CS-47702E - 7Fr x 20cm, Dual Lumen CS-42703E - 7Fr x 16cm, Triple Lumen CS-45703E - 7Fr x 20cm, Triple Lumen</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1650</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>157350</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ698</BillingCode><PriorBillingCodes><PriorBillingCode>MS070</PriorBillingCode></PriorBillingCodes><Name>BioFlo DuraMax</Name><Description>Percutaneous Catheter for Haemodialysis, Dual Lumen, Cuffed</Description><Size>French Size: 15.5 Fr   Catheter Length: 20 - 55 cm  Tip-to-Cuff Length: 15 - 50 cm</Size><SupplierCode>OW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>283676</ARTG><ARTG>283679</ARTG><ARTG>283677</ARTG><ARTG>283678</ARTG><ARTG>283680</ARTG></ARTGs><ChangeExplanation>Change to Part, Organisation
Billing code transferred from MS070
Sponsor transferred from MEDICAL SPECIALTIES AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA211</BillingCode><Name>Haemodialysis Catheters</Name><Description>Haemodialysis Catheters, multiple lumen</Description><Size>11Fr - 13.5Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>141187</ARTG></ARTGs><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI242</BillingCode><Name>Mahurkar Elite High Flow Dual Lumen Catheter Kit</Name><Description>Mahurkar Elite High Flow Dual Lumen Catheter Kit</Description><Size>13.5 Fr, 13cm-30cm, Straight/Curved/PreCurved Exten.</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>180135</ARTG></ARTGs><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI229</BillingCode><Name>Mahurkar Elite Triple Lumen Catheter Kit</Name><Description>Triple Lumen Catheter  Straight/Curved/Pre-Curved Exten.</Description><Size>12Fr, 12.5Fr; 13-30 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>180135</ARTG></ARTGs><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI241</BillingCode><Name>Mahurkar Elite Subclavian Dual Lumen Catheter Kit</Name><Description>Acute haemodialysus, short term vascular access. Catheters constructed of radiopaque polyurethane. Tips are made of polyvinyl chloride and are more radiopaque than the rest of the catheter.</Description><Size>10 Fr-12Fr, 13cm-30 cm, Straight/Curved/PreCurved Exten.</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>180135</ARTG></ARTGs><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ124</BillingCode><PriorBillingCodes><PriorBillingCode>BX338</PriorBillingCode><PriorBillingCode>BX338</PriorBillingCode></PriorBillingCodes><Name>GamCath High Flow Catheter Kit</Name><Description>GamCath High Flow Catheter is a polyurethane, kidney elliptical multi lumen, staggered tipped catheter kit, which ensures flows up to 430ml/min</Description><Size>11.5fr and 13fr guage.  Available in 150mm, 175mm, 200mm and 250mm length and straight and curved configuration.</Size><SupplierCode>AAJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>120507</ARTG></ARTGs><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA215</BillingCode><Name>Haemodialysis Catheter</Name><Description>Power Injectable, Triple Lumen Haemodialysis Catheter</Description><Size>13Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>141187</ARTG></ARTGs><MinimumBenefit>169</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ123</BillingCode><PriorBillingCodes><PriorBillingCode>BX352</PriorBillingCode></PriorBillingCodes><Name>GamCath Dolphin Protect HighFlow Haemodialysis Catheter Kit</Name><Description>GamCath HighFlow Dolphin Protect Catheters are single-use,   sterile Polyurethane vascular access Catheters with Dolphin Protect   (CareBioBac) Coating for adult patients used by health professionals.   GamCath Dolphin Protect catheters are intended for the short-term   (up to 30 days) modification of subclavian, jugular or femoral veins   to obtain vascular access and for the short-term (up to 30 days)   treatment by extracorporeal blood purification methods such   as apheresis, autotransfusion, hemodialysis, hemofiltration,   hemodiafiltration, plasmapheresis or extracorporeal carbon dioxide   removal in combination with extracorporeal blood purification devices   and their accessories.  </Description><Size>11.5F to 13F  guage. Available in 150mm to 250mm Straight and curved configurations. </Size><SupplierCode>AAJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>401852</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX029</BillingCode><Name>ARROWg+ard Blue Haemodialysis Catheters</Name><Description>Haemodialysis Catheters (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material.</Description><Size>CS-22122 - 12Fr 16cm, Dual Lumen CS-22123 – 12Fr 16cm, Triple Lumen CS-25122 – 12Fr x 20cm, Dual Lumen CS-22142CF – 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F – 14Fr x 15cm, Dual Lumen Firm CS-25122 – 12Fr x 20cm, Double Lumen CS-25123 – 12Fr x 20cm, Triple Lumen CS- 25142CF – 14Fr x 20cm, Double Lumen, Curve, Firm CS-25142F – 14Fr x 20cm, Double Lumen, Firm CS-26142F – 14Fr x 25cm, Double Lumen, Firm  CU-22122 – 12Fr x 16cm, Double Lumen, Curved CU-23122 – 12Fr x 13cm, Double Lumen, Curved CU-25122 – 12Fr x 20cm, Double Lumen, Curved, Dueal Lumen CS-22142CF - 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F - 14Fr x 15cm, Dual Lumen Firm CS-25122 - 12Fr x 20cm</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>A (Anti-infective Agent Coating)</Suffix><ARTGs><ARTG>158708</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TK005</BillingCode><Name>Medcomp Long Term Catheter sets for Haemodialysis</Name><Description>ASH, TESIO-BioFlex with cuff</Description><Size>10, 14 French   24,28,32 &amp; 36cm lengths</Size><SupplierCode>TK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>145174</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA140</BillingCode><Name>Haemodialysis Catheters</Name><Description>Dialysis Catheter, Multiple Lumen</Description><Size>12.5Fr - 16FR</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>277925</ARTG><ARTG>117986</ARTG><ARTG>145482</ARTG><ARTG>170529</ARTG><ARTG>107195</ARTG><ARTG>156250</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX054</BillingCode><Name>Arrow-Clark(TM) VectorFlow(TM) Chronic Haemodialysis Catheter</Name><Description>The Arrow-Clark VectorFlow Catheter is indicated for use in attaining long-term vascular access for hemodialysis and apheresis.</Description><Size>15Fr x 19cm, 15Fr x 23cm, 15Fr x 27cm, 15Fr x 31cm, 15Fr x 42cm, 15Fr x 55cm,</Size><SupplierCode>TX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>289583</ARTG><ARTG>289730</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI238</BillingCode><Name>Palindrome™ Precision Catheter</Name><Description>Haemodialysis catheter presented in a kit assembly including insertion stylets</Description><Size>14.5 Fr; 19cm-55cm (implant length); 36-72cm overall length with side slots,  symmetric tip</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>270192</ARTG><ARTG>270194</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KA018</BillingCode><Name>Palindrome</Name><Description>Haemodialysis catheter</Description><Size>14.5Fr, 15 Fr, 16Fr; 19, 23, 28, 33, 55cm Insertion Lengths, with 36, 40, 45, 50, 72cm Overall length, with side slots, symmetric tip</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>217352</ARTG><ARTG>184449</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TK006</BillingCode><Name>Medcomp Long Term Catheter sets for Haemodialysis</Name><Description>HemoFlow HFS-Carbothane with cuff</Description><Size>14.5 French   24,28,32 &amp; 36cm lengths</Size><SupplierCode>TK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><Suffix>cu (cuffed)</Suffix><ARTGs><ARTG>145174</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TK008</BillingCode><Name>Pro-Fuse CT Power Injectable Infusion Port</Name><Description>Power injectable implantable infusion port, open-ended catheter, single chamber, MRI compatible</Description><Size>5F - 8F</Size><SupplierCode>TK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>159639</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI054</BillingCode><Name>POWER PORT-A-CATH Single Lumen</Name><Description>PORT-A-CATH® POWER PAC Polysulfone/Titanium Implantable Venous Access Systems, Single Lumen with Multiple French sizes</Description><Size>6 -10 fr</Size><SupplierCode>SI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>161541</ARTG><ARTG>175619</ARTG><ARTG>161540</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB170</BillingCode><Name>Celsite Access Port for pain relief</Name><Description>Composition - polysulphone.  Kit includes tunnelling rod, filter, connectors, needles, syringe, tuohy needle</Description><Size>Diameter of septum:11.7mm.  Height: 11.5mm.  Dimension: 25.8 x 37.8mm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>133738</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JF002</BillingCode><Name>HealthPORT  Venous Access Port</Name><Description>HEALTHPORT Venous   Polysufone/Titanium Implantable Venous Access Systems, for mid and long term intermittent or continuous central venous infusion. Come with Silicon or Polyurethane catheter in multiple French sizes. Kits include Port chamber, Catheter, Connector, Huber needle 22G, Luer connector, Peel-away dilator-introducer, Introducer needle 18G, J-Guidewire 0.89mm, Stainless Steel Tunneler</Description><Size>5-8 Fr</Size><SupplierCode>JF</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>385351</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA221</BillingCode><Name>Implanted infusion Port</Name><Description>Titanium or MRI Implanted Port, Open-Ended Catheter, Single Chamber</Description><Size>6Fr - 9.6Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>157394</ARTG><ARTG>157397</ARTG><ARTG>157395</ARTG><ARTG>157400</ARTG><ARTG>157402</ARTG><ARTG>156249</ARTG><ARTG>157392</ARTG><ARTG>157401</ARTG><ARTG>157403</ARTG><ARTG>157398</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA057</BillingCode><Name>Groshong Subcutaneous Ports</Name><Description>Titanium or MRI Implatable Port, Closed-Ended Catheter, Single Chamber</Description><Size>7Fr - 8 Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>157396</ARTG><ARTG>157399</ARTG><ARTG>156248</ARTG><ARTG>157393</ARTG><ARTG>157391</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS014</BillingCode><Name>Vortex Implantable Port</Name><Description>Implantable access device for administration of medications, fluids, etc. and for blood sampling</Description><Size>Catheter Size (Fr): 6.6 - 9.6</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>155910</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI053</BillingCode><Name>PORT-A-CATH Single Lumen</Name><Description>PORT-A-CATH® Polysulfone/Titanium Implantable Venous Access Systems, Single Lumen with Multiple French sizes</Description><Size>6 - 10 fr</Size><SupplierCode>SI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><ARTGs><ARTG>175617</ARTG><ARTG>169403</ARTG><ARTG>175621</ARTG><ARTG>154982</ARTG><ARTG>154988</ARTG><ARTG>154989</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB366</BillingCode><Name>Celsite Safety Venous Access Port</Name><Description>Celsite Safety is a venous access port that is implanted and is intended to be used for any condition that requires mid to long-term intermittent or continuous central venous infusions.</Description><Size>Standard: 33 x 26mm x 13.7mm: Septum 13.0mm
Small: 29 x 22mm x 11.3mm: Septum 10.8mm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>285508</ARTG><ARTG>286710</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JF001</BillingCode><Name>HealthPORT Power Venous Access Port</Name><Description>HealthPORT Power Venous Polysufone/Titanium Implantable Venous Access Systems, for mid and long term intermittent or continuous central venous infusion. Come with Silicon or Polyurethane catheter in multiple French sizes. Kits include Port chamber, Catheter, Connector, Huber needle 22G, Luer connector, Peel-away dilator-introducer, Introducer needle 18G, J-Guidewire 0.89mm, Stainless Steel Tunneler  For Power Injection</Description><Size>5-8 Fr</Size><SupplierCode>JF</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>385351</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS016</BillingCode><Name>Smart Port CT</Name><Description>Power-Injectable, Single Chamber, Titanium, Vascular Access Port with Vortex Technology</Description><Size>Detached or Pre-Attached Catheter: 6.6 Fr - 9.6 Fr</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>169838</ARTG><ARTG>235099</ARTG><ARTG>235097</ARTG><ARTG>235098</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK007</BillingCode><Name>Ambix Intraport CP Powerflow &amp; Ambix Intraport T Powerflow</Name><Description>Ambix Intraport® systems are completely implantable catheter systems.  They consist of a casing, a medicine compartment with a silicone membrane and a catheter which can be connected to the port casing.</Description><Size>Port: 8086012 Ambix Intraport CP Powerflow
Material: PEEK casing with aluminium oxide ceramic medicine compartment
Diameter of port base: 30mm
Port Weight: 7.8/7.6g
Port filling volume: 0.21/0.25ml
Port: 8086442
Material: Titanium
Diameter of port: 30mm
Port Height: 13.8mm
Port weight: 12.6g
Port filling volume: 0.56ml</Size><SupplierCode>FK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>222677</ARTG><ARTG>222676</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS079</BillingCode><Name>Power Injectable Infusion Port</Name><Description>Single Chamber, MRI Conditional, Vascular Access Port with Vortex Technology</Description><Size>Catheter (French Size): 5Fr - 8Fr, Catheter (Length): 45 cm - 63 cm, Port Body (Height): 10.8 mm - 13.0 mm, Port Septum (Diameter): 10.2 mm - 12.7 mm</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>378931</ARTG><ARTG>378932</ARTG><ARTG>378930</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA208</BillingCode><Name>PowerPort with Groshong Catheter</Name><Description>Titanium or MRI implantable Port, Closed-Ended Catheter, Single Chamber</Description><Size>8Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>170346</ARTG><ARTG>170345</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA181</BillingCode><Name>PowerPort</Name><Description>Titanium or MRI implantable port, Open-ended Catheter, Single Chamber</Description><Size>6Fr - 8Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>170347</ARTG><ARTG>149028</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS015</BillingCode><Name>Injection/Infusion Ports Sterile</Name><Description>Plastic/titanium, dual lumen</Description><Size>10, 10.5, 12F</Size><SupplierCode>MS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1653</GroupID><ARTGs><ARTG>155909</ARTG></ARTGs><MinimumBenefit>636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA059</BillingCode><Name>Dual Lumen Subcutaneous Ports</Name><Description>Silicone, Polyurethane or ChronoFlex Open-ended Catheter</Description><Size>7 - 10 French Catheter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1653</GroupID><ARTGs><ARTG>157389</ARTG><ARTG>157390</ARTG><ARTG>156247</ARTG></ARTGs><MinimumBenefit>636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI055</BillingCode><Name>PORT-A-CATH Double Lumen</Name><Description>PORT-A-CATH® Polysulfone/Titanium Implantable Venous Access Systems.  Dual Lumen with Multiple French sizes</Description><Size>7-10Fr</Size><SupplierCode>SI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1653</GroupID><ARTGs><ARTG>175618</ARTG><ARTG>175620</ARTG></ARTGs><MinimumBenefit>636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KA002</BillingCode><Name>Paediatric Peritoneal Catheter</Name><Description>Paediatric Peritoneal Dialysis Catheters - includes catheter options: Tenckhoff, Curl Cath, Swan Neck</Description><Size>31cm to 42cm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>215</SubCategoryID><GroupID>1654</GroupID><ARTGs><ARTG>179006</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KA006</BillingCode><Name>Curl Cath Peritoneal Catheter</Name><Description>Curl Cath Peritoneal Dialysis Catheters - includes a variety of catheter lengths and cuff placements </Description><Size>57cm to 62cm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>215</SubCategoryID><GroupID>1654</GroupID><ARTGs><ARTG>178936</ARTG><ARTG>179006</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KA001</BillingCode><Name>Tenckhoff Peritoneal Catheters</Name><Description>Tenckhoff Peritoneal Dialysis Catheters - includes a variety of catheter lengths and cuff placements </Description><Size>41cm to 47cm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>215</SubCategoryID><GroupID>1654</GroupID><ARTGs><ARTG>178936</ARTG><ARTG>179006</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI319</BillingCode><PriorBillingCodes><PriorBillingCode>KA004</PriorBillingCode><PriorBillingCode>KA005</PriorBillingCode></PriorBillingCodes><Name>Swan Neck Peritoneal Catheter</Name><Description>Swan Neck Peritoneal Dialysis Catheters - includes catheter options: Tenckhoff, Curl Cath and Presternal</Description><Size>43cm to 113cm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>215</SubCategoryID><GroupID>1654</GroupID><ARTGs><ARTG>179006</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK515</BillingCode><Name>Nasal Sheet (Strut).</Name><Description>Nasal Sheet (Strut). Model 9536</Description><Size>Nasal Sheet (Strut): 40 x 9 x 1.1mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><ARTGs><ARTG>257016</ARTG></ARTGs><MinimumBenefit>144</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ311</BillingCode><Name>Stryker Patient-Matched TMJ – Anatomic Biomodel</Name><Description>The anatomical bone model (biomodel) is produced from a computer tomography (CT) scan of the patient’s mandible and maxilla and intended to be used by the surgeon as an anatomical reference in planning and performing the implantation of the prosthesis.</Description><Size>Patient Specific</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>427023</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ050</BillingCode><Name>Lyka-Smith Anatomical Biomodel</Name><Description>Three-dimensional anatomical biomodel</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>293845</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ046</BillingCode><Name>OrthoTin Anatomic Biomodel</Name><Description>Anatomic Biomodel</Description><Size>The device is custom so the size will vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>293845</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ001</BillingCode><PriorBillingCodes><PriorBillingCode>AT076</PriorBillingCode><PriorBillingCode>AT076</PriorBillingCode></PriorBillingCodes><Name>Anatomics Biomodel</Name><Description>A patient-specific, 3D printed  biomodel intended to assist the surgeon during pre- and intraoperative procedural planning.</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>AAC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>288564</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG004</BillingCode><Name>The OMX Solutions Biomodel</Name><Description>CT Based Patient Specific Anatomical Biomodel</Description><Size>The device is patient specific so size will vary</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>276753</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HI005</BillingCode><Name>DDN Biomodel</Name><Description>Custom made biomodel for use with the STRAUMANN Implant System (SB024), (SB009), (SB015), (SB023), (SB008), (SB012), (SB018), (SB029), (SB030), (SB035)</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>HI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>336209</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW652</BillingCode><Name>VSP Reconstruction Maxillofacial Case Bundle</Name><Description>VSP Reconstruction Maxillofacial Case Bundle (Includes Skull Model)</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>200615</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY779</BillingCode><Name>ProPlan</Name><Description>Patient Specific Craniofacial Anatomical Biomodel</Description><Size>Custom</Size><SupplierCode>MN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>276733</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW544</BillingCode><Name>Stryker Anatomical Biomodel for Mandible</Name><Description>Patient Specific Craniofacial Anatomical Biomodel</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>218563</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW546</BillingCode><Name>Stryker Anatomical Biomodel for PEEK</Name><Description>Patient Specific Craniofacial Anatomical Biomodel</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>218563</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW651</BillingCode><Name>VSP Orthognathics Bundle (Custom Biomodel and Implants)</Name><Description>VSP Orthognathics Bundle (Custom Biomodel and Implants - Plates and Screws)</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>200615</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI004</BillingCode><Name>OMF Model</Name><Description>A custom made patient-specific and single-use aid, intended to be used in dental and craniomaxillofacial surgical procedures</Description><Size>Patient specific</Size><SupplierCode>UI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>322576</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI002</BillingCode><Name>BIOMODEL</Name><Description>3D CT Based Patient Specific biomodels generated from Patient’s CT scan to   replicate patient particular anatomical contours</Description><Size>Custom - made. Patient specific</Size><SupplierCode>UI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>292561</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT004</BillingCode><Name>UNIQOS Patient Specific Anatomical Biomodel</Name><Description>Patient specific antomical biomodel</Description><Size>Custom-Patient Specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HI002</BillingCode><Name>DDN Biomodel</Name><Description>Custom made biomodel for use with the Neoss Implant System (NJ001)</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>HI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>336209</ARTG></ARTGs><Note>Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction &amp; Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.</Note><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW412</BillingCode><Name>Chins</Name><Description>Extended chin implants: Round RZ (Models 8313 - 8315) and extended square RZ (Models 8316, 8318). Two piece chin design (Models 8320 - 8322). Single piece chin design, contoured (Models 7520 - 7522). Additional chin shapes (Models 6341 - 6344) Contoured t</Description><Size>Extended chin Implants design RZ round small: 45 x 47 x 3mm, medium 45 x 47 x 5mm, large 45 x 47 x 7mm; Extneded Chin Implants square small 45 x 47 x3mm; Medium 45 x 47 x 5mm; Large 45 x 47 x 7mm; Two piece design small 46 x 33 x 5mm; Medium 56 x 36 x 7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1592</GroupID><ARTGs><ARTG>257033</ARTG></ARTGs><MinimumBenefit>189</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE806</BillingCode><PriorBillingCodes><PriorBillingCode>VL003</PriorBillingCode></PriorBillingCodes><Name>Su-Por Chin Two Piece Anatomical contour.</Name><Description>An implantable device intended to support, contour, and provide structure for the chin. Made of high density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in various shapes and can be cut by the surgeon to meet the patient's specific needs.</Description><Size>3mm, 5mm, 7mm, 9mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1592</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>626</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY782</BillingCode><Name>SynPOR</Name><Description>Porous Polyethylene Chin Implant</Description><Size>4-9mm</Size><SupplierCode>MN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1592</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>626</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK512</BillingCode><Name>Malar Shape</Name><Description>Porus Polyethylene. Design RZ malar shapes, super petite and petite, left and right (Models 9501 - 9504). Design M malar shapes, left and right (Models 9507 - 9512). Additional malar shapes, extended contoured left and right (Models 9513 - 9518) Contoured</Description><Size>Design RZ malar shapes: super petite left and right 50 x 19 x 3mm, Design RZ malar shapes petite left and right 50 x 19 x 5mm. Design malar shapes: small left and right  64 x 19 x 3mm, left and right medium 64 x 19 x 4.5mm, Left and right large 64 x 19 x </Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><ARTGs><ARTG>187184</ARTG><ARTG>257037</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR007</BillingCode><Name>Branemark Titanium Fixture</Name><Description>Zygomaticus Fixture</Description><Size>30, 35, 37.5, 40, 42.5, 45, 47.5, 50, 52.5mm Length</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1601</GroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>780</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GZ001</BillingCode><Name>JD Zygoma Dental Implants</Name><Description>Titanium Dental Implants</Description><Size>3.9mm to 4.3mm (diameter), 30mm to 60mm (height)</Size><SupplierCode>GZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1601</GroupID><ARTGs><ARTG>334160</ARTG></ARTGs><MinimumBenefit>780</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC002</BillingCode><Name>Southern Zygomatic and Oncology Implants</Name><Description>Zygomatic Titanium dental implants with 45 or 55 degree angulation</Description><Size>4 to 6mm diameter, 27 to 52.5mm length</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1601</GroupID><ARTGs><ARTG>146307</ARTG></ARTGs><MinimumBenefit>780</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB024</BillingCode><Name>Straumann Zygomatic Implant, ZAGA Round and ZAGA Flat</Name><Description>Titanium zygomatic implant, round or flat</Description><Size>4.3mm diameter, 30mm - 60mm length</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1601</GroupID><ARTGs><ARTG>330842</ARTG></ARTGs><MinimumBenefit>780</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ132</BillingCode><Name>OsseoFrame</Name><Description>The MAXONIQ OsseoFrame is a subperiosteal, titanium (Ti64), patient-specific surgical
implant individually designed from a 3D Computed Tomography (CT) or Cone Beam CT
(CBCT) scan provided to MAXONIQ by the referring surgeon. The OsseoFrame is
fixated to alveolar bone of the maxilla or mandible to fit the natural contours. An
OsseoFrame is comprised of a baseplate with holes for screw fixation and transmucosal
connectors for dental prosthesis attachment. The OsseoFrame is intended to be used on
the alveolar bone of the mandible or maxilla to provide a stable and permanent platform for
fixation of the dental prosthesis. The OsseoFrame is indicated to restore oral function
and facial aesthetics in edentulous patients missing 3 or more adjacent teeth with atrophic
jaws, low sinus floors or who have undergone partial jaw resection. The OsseoFrame
may also be beneficial for patients who cannot tolerate removable dentures and desire a
fixed solution; who cannot tolerate complex bone graft surgery to support dental implants;
or if they want replacement teeth immediately after surgery. The dental prosthesis is
supplied separately and is to be fitted by surgeon, a restorative dentist or a prosthodontist.
The OsseoFrame may be supplied with a biomodel and a surgical guide, both these items
have separate Prosthesis Listings.</Description><Size>The OsseoFrame may be supplied as either a 2 post, 3 post or 4 post variant of the prosthesis. Effectively, these size variants are designed for partial overdentures (2 and 3 post variants) or a 4 post variant for full arch restoration. The 4 post, full arch variant is designed to treat a fully edentulous patient, whilst the 2 and 3 post variants are designed to treat patients missing 3 or more teeth. The clinician and prosthodontist will determine the appropriate number of posts for an individual patient.</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>2968</GroupID><ARTGs><ARTG>286266</ARTG></ARTGs><MinimumBenefit>3254</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ339</BillingCode><PriorBillingCodes><PriorBillingCode>LM274</PriorBillingCode></PriorBillingCodes><Name>FlowCOUPLER</Name><Description>High Density polyethylene (ring); Stainless Steel (pins) with preattached probe</Description><Size>2.0mm, 2.5mm, 3.0mm, 3.5mm, 4.0mm</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1608</GroupID><Suffix>with Doppler probe</Suffix><ARTGs><ARTG>243832</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM274
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>990</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ370</BillingCode><PriorBillingCodes><PriorBillingCode>LM030</PriorBillingCode></PriorBillingCodes><Name>Synovis Coupler</Name><Description>High Density polyethylene (ring); Stainless Steel (pins)</Description><Size>Diameter 1-4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1608</GroupID><ARTGs><ARTG>95596</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM030
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>609</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ717</BillingCode><Name>Omnipod 5 Automated Insulin Delivery System</Name><Description>The Omnipod 5 (OP5) Automated Insulin Delivery (AID) System includes the tubeless insulin Pod, the Omnipod 5 App on the Insulet provided controller, and the chosen compatible glucose sensor. The glucose sensor sends CGM values and trends to the Pod. The Pod houses the insulin pump and a microprocessor which holds the SmartAdjustTM Technology that uses CGM values to make decisions and automatically adjust the insulin delivered. The Pod or the sensor also sends the CGM value to the Omnipod 5 App. This is used to display the data and to manually send commands to the Pod for bolusing and for basal insulin doses when not operating in automated mode.</Description><Size>One size only</Size><SupplierCode>II</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>294</SubCategoryID><GroupID>20002</GroupID><ARTGs><ARTG>455009</ARTG></ARTGs><Note>The benefit for the device is payable no more frequently than once every 4 years.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>389014</ARTG></ARTGs><MinimumBenefit>7470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>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>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL089</BillingCode><Name>Stapes</Name><Description>De La Cruz
House-Type
Lippy Modified
Classic
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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL091</BillingCode><Name>Stapes</Name><Description>Causse Pistons,  Cawthorne Pistons,  Fisch-Type Pistons,  Fluoroplastic Pistons,  McGee Pistons,  Richards Platinum Fluoroplastic Pistons,  Schuknecht Pistons,  Schuknecht Malleus Attached Pistons  SMart Pistons,  SMart 360 Pistons  SMart Malleus</Description><Size>Diameter: 0.3mm to 0.8mm  Functional Length: 3.5mm to 6.5mm</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>2024-11-01</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>2024-11-01</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>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4155</SubGroupID><ARTGs><ARTG>125831</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US033</BillingCode><Name>Passive Middle Ear Implant (partial tympanoplasty prosthesis and stapesplasty prosthesis)</Name><Description>The MED-EL passive middle ear implant – tympanoplasty and stapesplasty ossicular replacement prostheses are made of titanium with a bendable shaft (and headplate of the tympanoplasty prosthesis). MRI conditional up to 7.0 Tesla</Description><Size>mXACT, mCLIP, mCLIP ARC, mXACT PRO - FL 0.75-3.50mm;   mAXIS(Ø 0.4/0.5/0.6 x FL 3.50-5.50mm), mLOOP (Ø 0.4/0.6 x FL 3.50-10.00mm), mZAM (Ø 0.4/0.5/0.6 x FL 3.50-5.50mm), mFIX (Ø 0.4/0.6 x FL 3.50-5.50mm), </Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>393392</ARTG><ARTG>393386</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL093</BillingCode><Name>Ossicular Prosthesis - Incus/Stapes</Name><Description>a) Applebaum Incudostapedial Joint  b) Goldenberg Incus  c) Wehrs Incus (Single &amp; Double Notch)  d) Wehrs II Incus-Stapes (Single Notch)  e) Kartush Incus-Stapes Strut  f) Goldenberg Incus-Stapes g)Applebaum Incus Replacement System</Description><Size>a) small - large  b) one size only  c) short, average, medium  d) short, average, medium, long  e) short, medium, long  f) one size only</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>123372</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ463</BillingCode><PriorBillingCodes><PriorBillingCode>RC010</PriorBillingCode></PriorBillingCodes><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:
• Titanium: Columella and flat band made of titanium;
• Platinum/PTFE: Columella made of polytetrafluoroethylene (PTFE), flat band made of platinum (Pt);
• 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)
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)
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>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC010
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL094</BillingCode><Name>Ossicular Prosthesis - PORP</Name><Description>Drum-to-Stapes  Goldenberg Malleable   Modified  Off-Centered  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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL088</BillingCode><Name>Ossicular Prosthesis - PORP</Name><Description>Shea
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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ461</BillingCode><PriorBillingCodes><PriorBillingCode>RC012</PriorBillingCode></PriorBillingCodes><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. 
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. 
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. 
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
Offset Head with slitted Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm
Central Head with Complete Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm
Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.5mm (variable)
Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.0mm (variable)</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC012
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL092</BillingCode><Name>Ossicular Prosthesis - PORP/TORP</Name><Description>Black Spanner Strut  Black Oval-Top PORP/Universal/TORP  Micron Adjustable Titanium PORP/TORP  Causse Modified TORP  Fisch-Type TORP  Shea TORP   Sheehy Modified TORP Sheey TORP (Improved), Micron All Titanium Monolithic TOPR/PORP</Description><Size>Shaft diameter from 0.6mm to 4mm  Length from 1.5m to 10.9mm</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>123372</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US034</BillingCode><Name>Passive Middle Ear Implant (total tympanoplasty prosthesis)</Name><Description>The MED-EL passive middle ear implant – tympanoplasty ossicular  replacement prosthesis is made of titanium with a bendable shaft and headplate. MRI conditional up to 7.0 Tesla</Description><Size>mXACT (Offcenter and Center) and mXACT PRO - FL 3.00-7.00mm</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>393391</ARTG><ARTG>393387</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ464</BillingCode><PriorBillingCodes><PriorBillingCode>RC011</PriorBillingCode></PriorBillingCodes><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.
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
Central Head shaft diam. 0.3 mm Length 3.00 mm
Central Head shaft diam. 0.3 mm Length 3.50 mm
Central Head shaft diam. 0.3 mm Length 4.00 mm
Central Head shaft diam. 0.3 mm Length 4.25 mm
Central Head shaft diam. 0.3 mm Length 4.50 mm
Central Head shaft diam. 0.3 mm Length 4.75 mm
Central Head shaft diam. 0.3 mm Length 5.00 mm
Central Head shaft diam. 0.3 mm Length 5.50 mm
Central Head shaft diam. 0.3 mm Length 6.00 mm
Central Head shaft diam. 0.3 mm Length 6.50 mm
Central Head shaft diam. 0.3 mm Length 7.00 mm
Offset Head shaft diam. 0.3 mm Length 3.00 mm
Offset Head shaft diam. 0.3 mm Length 3.50 mm
Offset Head shaft diam. 0.3 mm Length 4.00 mm
Offset Head shaft diam. 0.3 mm Length 4.25 mm
Offset Head shaft diam. 0.3 mm Length 4.50 mm
Offset Head shaft diam. 0.3 mm Length 4.75 mm
Offset Head shaft diam. 0.3 mm Length 5.00 mm
Offset Head shaft diam. 0.3 mm Length 5.50 mm
Offset Head shaft diam. 0.3 mm Length 6.00 mm
Offset Head shaft diam. 0.3 mm Length 6.50 mm
Offset Head shaft diam. 0.3 mm Length 7.00 mm
Shortenable
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.8 
mm
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.3 
mm
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.5 
mm
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.0 
mm
Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.8 mm
Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.3 mm</Size><SupplierCode>AAF</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from RC011
Sponsor transferred from COREMED PTY LIMITED</ChangeExplanation><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>843</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>843</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ699</BillingCode><Name>Ace Catheter Set with/ without NRFit Leur </Name><Description>Ace Single Catheter Set is used for pain relief. It is intended for regional anesthesia, peripheral nerve block and wound infusion. It comes with or without NRFit leur connections.
Each length of catheters provides precise medication delivery to incisions, subcutaneous, near nerve bundles as well as sub-muscular where it is needed.
</Description><Size>2.5cm, 6.5cm, 5cm, 6.5cm, 10cm, 12.5cm, 15cm, 20cm, 30cm</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4190</SubGroupID><ARTGs><ARTG>327940</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ718</BillingCode><Name>Avoset Administration Sets</Name><Description>Administration sets to be used with the Avoset Infusion Pump. Each administration set includes a dedicated administration cassette responsible for pump interaction.</Description><Size>0.4-2.951m length.</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>426902</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ700</BillingCode><Name>Rythmic Evolution Administration Set</Name><Description>This administration set is intended for the administration of medicines or other liquid substances to the body through a catheter, by positive pressure of a Rythmic infusion pump, through intravenous, intraarterial, central neural block/regional neural block, subcutaneous, intraperitoneal and intraoperative sites (soft tissue, body cavity/surgical wound site). This is a sterile, single-use device.</Description><Size>Full set: 150cm +- 5cm; Spike set: 150cm +- 5cm; Luer set: 150cm +- 5cm; Y-extension line: 19cm +- 0.5cm</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>427711</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ721</BillingCode><Name>Avoset Medication Reservoir </Name><Description>Medication reservoir.</Description><Size>100ml reservoir &amp; 330mm tube.</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4192</SubGroupID><ARTGs><ARTG>426902</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ826</BillingCode><Name>eZPush Infusion administration set, controller - single use only</Name><Description>The infusion controller administration sets for Non-electrically Driven Portable Infusion Devices are intended to regulate the flow rate of 
mechanical infusion pumps are single use only</Description><Size>Many flow rates - 1ml per hour up to 120 ml per hour</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>401812</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>145297</ARTG><ARTG>316996</ARTG></ARTGs><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ719</BillingCode><Name>Avoset Administration Sets</Name><Description>Administration sets to be used with the Avoset Infusion Pump.</Description><Size>1.687 &amp; 1.697m length.</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>426902</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ705</BillingCode><Name>CIMPAX C CAT Catheter</Name><Description>Surgical Site Infusion Catheters</Description><Size> Catheter Kit 6 hole 2.5cm Catheter Kit 12 hole 6.5cm Catheter Kit 30 hole 15cm Catheter Kit 42 hole 21cm Catheter Kit 60 hole 30cm</Size><SupplierCode>LE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4194</SubGroupID><ARTGs><ARTG>331701</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>389989</ARTG></ARTGs><MinimumBenefit>582</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN181</BillingCode><Name>PROLENE™ Soft Polypropylene Mesh</Name><Description>Nonabsorbable Synthetic Surigcal Mesh</Description><Size>Size (cm) 2.5x10, 7.6x15, 6.4x11.4; quantity/pack 6  </Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>389989</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ178</BillingCode><Name>Prolene Mesh</Name><Description>Large keyhole polypropylene monofilament non absorbable mesh</Description><Size>Size (cm) 6x13.7; quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>389990</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>389990</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ175</BillingCode><Name>Prolene Mesh</Name><Description>Medium polypropylene monofilament non absorbable mesh</Description><Size>Size (cm) 6x11, 7.5x15, quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>389990</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>399214</ARTG><ARTG>399630</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ177</BillingCode><Name>Prolene Mesh</Name><Description>Small keyhole polypropylene monofilament non absorbable mesh</Description><Size>Size (cm) 4.6x10; quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>389990</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>421377</ARTG><ARTG>421381</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA070</BillingCode><Name>Bard Mesh and Bard Soft Mesh</Name><Description>Bard Mesh - monofilament polypropylene for the reconstruction of tissue defects 
Bard Soft Mesh - large pore monofilament polypropylene for the reconstruction of tissue defects</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>404318</ARTG><ARTG>410979</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ599</BillingCode><Name>Parietene Macroporous Mesh</Name><Description>Parietene macroporous mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.
</Description><Size>6 cm x 11 cm, 7.5 cm x 15 cm, 10 cm x 15 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>449258</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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 
3.0, 9 x 5 cm 
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>2024-11-01</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 
10.5 x 14 cm 
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>2024-11-01</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>376471</ARTG></ARTGs><MinimumBenefit>238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>399214</ARTG><ARTG>399630</ARTG><ARTG>399213</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>399214</ARTG><ARTG>399630</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ222</BillingCode><Name>Prolene Mesh - medium</Name><Description>Abdominal hernia surgical mesh, sterile device composed of non-absorbable undyed polypropylene fiber.</Description><Size>Size (cm) 15x15; quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>389990</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>421377</ARTG><ARTG>421381</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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>421381</ARTG><ARTG>421377</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>399214</ARTG><ARTG>399630</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN162</BillingCode><Name>PROLENE Soft Polypropylene Mesh</Name><Description>Nonabsorbable Synthetic Surgical Mesh</Description><Size>Size (cm) 15x15; quantity/pack 6</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>389989</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA223</BillingCode><Name>Bard 3DMAX Mesh and Bard 3DMAX Light Mesh</Name><Description>3DMAX Mesh and 3DMAX Light Mesh for XL size for both right and left side options. 
0115312 - 3DMAX 12.4cm x 17.3cm XLG Left 
0115322 - 3DMAX 12.4cm x 17.3cm XLG Right 
0117312 - 3DMAX Light 12.2cm x 17.0cm XLG Left 
0117322 - 3DMAX Light 12.2cm x 17.0cm XLG Right</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>376471</ARTG><ARTG>398770</ARTG></ARTGs><MinimumBenefit>261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ598</BillingCode><Name>Parietene Macroporous Mesh</Name><Description>Parietene macroporous mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</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>449258</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>399214</ARTG><ARTG>399630</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ597</BillingCode><Name>Parietene Macroporous Mesh</Name><Description>Parietene macroporous mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.
</Description><Size>30 cm x 30 cm, 10 cm x 45 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>449258</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>421377</ARTG><ARTG>421381</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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, quantity/box 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>389990</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN180</BillingCode><Name>PROLENE™ Soft Polypropylene Mesh</Name><Description>Non-absorbable Synthetic Surgical Mesh</Description><Size>Size (cm) 30.5x35.6, 25x25; quantity/pack 3  </Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>389989</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ576</BillingCode><Name>Zip Surgical Skin Closure</Name><Description>Topical Skin Closure Device</Description><Size>4-24cm</Size><SupplierCode>JV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>344510</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ747</BillingCode><Name>SurgiSeal Topical Skin Adhesive</Name><Description>Cyanoacrylate Topical Skin Adhesive</Description><Size>0.35ml and 0.5ml</Size><SupplierCode>AAH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>207169</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ649</BillingCode><Name>Exofin Fusion Skin Closure System</Name><Description>Mesh and adhesive</Description><Size>Mesh 6-60cm and adhesive 0.5ml</Size><SupplierCode>BU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>386117</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ627</BillingCode><Name>Liquiband XL</Name><Description>Topical skin adhesive with self-adhering mesh</Description><Size>22cm mesh and 2.7g adhesive</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>383905</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ648</BillingCode><Name>Exofin Topical Skin Adhesive</Name><Description>Polymerising 2-octyl topical adhesive - tube and pen</Description><Size>0.5 - 1ml</Size><SupplierCode>BU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>386117</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>171563</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH597</BillingCode><Name>LiquiBand Topical</Name><Description>Topical Skin Adhesive</Description><Size>0.35g, 0.5g and 0.8g</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>151324</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE720</BillingCode><Name>Glubran 2</Name><Description>Synthetic cyanoacrylic surgical glue: N-Butyl (2) cyanoacrylate and methacryloxysulfolane co-monomer</Description><Size>0.25 ml, 0.5 ml, 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>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ057</BillingCode><PriorBillingCodes><PriorBillingCode>AB075</PriorBillingCode><PriorBillingCode>AB075</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - 2ml Syringe System</Name><Description>Model No BG3502-5-A (BioGlue Surgical Adhesive)</Description><Size>2ml</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Biological</Suffix><ARTGs><ARTG>137751</ARTG></ARTGs><MinimumBenefit>323</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ058</BillingCode><PriorBillingCodes><PriorBillingCode>AB003</PriorBillingCode><PriorBillingCode>AB003</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - 5ml Syringe System</Name><Description>Model No BG3515-5-A (BioGlue Surgical Adhesive)</Description><Size>One size only</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4248</SubGroupID><Suffix>Biological</Suffix><ARTGs><ARTG>137751</ARTG></ARTGs><MinimumBenefit>588</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ056</BillingCode><PriorBillingCodes><PriorBillingCode>AB004</PriorBillingCode><PriorBillingCode>AB004</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - 10ml Syringe System</Name><Description>Model No BG3510-5-A (BioGlue Surgical Adhesive)</Description><Size>One size only</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4249</SubGroupID><Suffix>Biological</Suffix><ARTGs><ARTG>137751</ARTG></ARTGs><MinimumBenefit>1177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ055</BillingCode><PriorBillingCodes><PriorBillingCode>AB065</PriorBillingCode><PriorBillingCode>AB065</PriorBillingCode></PriorBillingCodes><Name>BioGlue Delivery Tip Extension (various sizes)</Name><Description>Rigid Extender Tip (BGDTE range)</Description><Size>10cm, 27cm, 35cm</Size><SupplierCode>JY</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>2024-11-01</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>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ059</BillingCode><PriorBillingCodes><PriorBillingCode>AB076</PriorBillingCode><PriorBillingCode>AB076</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - Spreader Tips</Name><Description>Spreader (extender) Tips (various sizes), (Pack of 3)</Description><Size>12mm, 16mm</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>137420</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ061</BillingCode><PriorBillingCodes><PriorBillingCode>AB010</PriorBillingCode><PriorBillingCode>AB010</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - Syringe 27CM Extender</Name><Description>Model No BGAT-27-SY (BioGlue Surgical Adhesive)</Description><Size>27cm Extender</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>137420</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ060</BillingCode><PriorBillingCodes><PriorBillingCode>AB009</PriorBillingCode><PriorBillingCode>AB009</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - Syringe 10cm Extender</Name><Description>Model No BGAT-10-SY (BioGlue Surgical Adhesive)</Description><Size>10cm Extender</Size><SupplierCode>JY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>137420</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ062</BillingCode><PriorBillingCodes><PriorBillingCode>AB008</PriorBillingCode><PriorBillingCode>AB008</PriorBillingCode></PriorBillingCodes><Name>BioGlue Surgical Adhesive - Syringe Standard Applicator Tip</Name><Description>Model No BGAT-SY (BioGlue Surgical Adhesive)</Description><Size>Standard Applicator Tip</Size><SupplierCode>JY</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ716</BillingCode><Name>Floseal -13 cm Malleable applicator tip </Name><Description>Floseal Malleable Applicator with Tips specifically designed for use with
Floseal Haemostatic Matrix</Description><Size>13cm</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><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>385671</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>5424</SubGroupID><ARTGs><ARTG>202060</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ540</BillingCode><Name>HEMOPATCH SEALING HAEMOSTAT</Name><Description>HEMOPATCH is indicated as a hemostatic device and surgical sealant for procedures in which control of bleeding or 
leakage of other body fluids by conventional surgical techniques is either ineffective or impractical.
</Description><Size>Medium 4.5cm X 4.5cm ( 3 pads per box) </Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>5425</SubGroupID><ARTGs><ARTG>360130</ARTG></ARTGs><ChangeExplanation>Expanded from BX343</ChangeExplanation><MinimumBenefit>208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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)
8 cm x 16 cm (128cm2)</Size><SupplierCode>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ539</BillingCode><Name>HEMOPATCH SEALING HAEMOSTAT</Name><Description>HEMOPATCH is indicated as a hemostatic device and surgical  sealant for procedures in which control of bleeding or leakage 
of other body fluids by conventional surgical techniques is either  ineffective or impractical</Description><Size> Large 4.5cm X 9cm (3 pads per box)</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>5426</SubGroupID><ARTGs><ARTG>360130</ARTG></ARTGs><ChangeExplanation>Expanded from BX343</ChangeExplanation><MinimumBenefit>412</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DF004</BillingCode><Name>DANA-i Insulin Pump</Name><Description>ACE (Alternate Control Enabled) secure Bluetooth low energy insulin pump.  EC certified to be connected to approved CGM systems and approved control algorithms (APS - Artificial Pancreas Systems).  </Description><Size>97mm x 44mm x 20mm 85grams</Size><SupplierCode>DF</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4183</SubGroupID><Suffix>DE, SS</Suffix><ARTGs><ARTG>340938</ARTG></ARTGs><MinimumBenefit>8077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE002</BillingCode><Name>REM Systems Ambulatory Infusion Pump</Name><Description>Ambulatory infusion pump, syringe.
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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ720</BillingCode><Name>Avoset Infusion Pump (single patient use)</Name><Description>The Avoset Infusion Pump is a programmable ambulatory pump intended for controlled infusion at continuous rate, and/or with an intermittent bolus, and/or with a patient bolus and/or with taper, in the hospital and home environments.</Description><Size>97 x 97 x 47 mm</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>426470</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ702</BillingCode><Name>Reusable Battery Powered Infusion Pump</Name><Description>The Automed3400 can be connected to various reservoirs / I.V bags and syringes, so users have flexibility with their desired delivery volumes.
Users can monitor the flow rate, bolus dose, and lock-out time on the LCD.
You can use this pump with another sort of liquid medicine bag, so it doesn’t need any special medicine bag for it.
LCD continuously monitors all aspects of the pump and delivery.</Description><Size>Can be connected to various reservoirs of all sizes of  I.V bags and syringes.</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>421412</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ749</BillingCode><Name>Rythmic Evolution</Name><Description>Ambulatory infusion pump system intended to support intravenous, intra-arterial, subcutaneous, or intraperitoneal administration of medicine, and may be used in close proximity to nerves, into an intraoperative site (soft tissue, body cavity /surgical wound site), epidural space, or subarachnoid space. This is a reusable device.</Description><Size>Rythmic Evolution Pump 130mm x 133mm x 46mm (including 160 ml/200 ml bag); Rythmic Evolution Mini - 130mm x 75mm x 46mm (including 100 ml bag)</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>428078</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>190933</ARTG><ARTG>228804</ARTG><ARTG>243381</ARTG><ARTG>190934</ARTG><ARTG>190922</ARTG><ARTG>228805</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>YA001</BillingCode><Name>mylife™ YpsoPump Insulin Pump System</Name><Description>The mylife™ YpsoPump Insulin Pump System is a BLE (bluetooth low energy) insulin pump which can be connected to a BLE Smart Phone and has Continuous Glucose Monitoring (CGM) capability. Smart Phone connection is via a secure pairing code, creating a large easy to read display for set-up and monitoring of the system. The system can be set to automatically adjust delivery of basal insulin based on CGM values with treat to target adaptive control.</Description><Size>One size only</Size><SupplierCode>YA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4187</SubGroupID><Suffix>DE, SS, ABD</Suffix><ARTGs><ARTG>298274</ARTG></ARTGs><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>MN</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>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>177702</ARTG><ARTG>171589</ARTG></ARTGs><MinimumBenefit>19</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ054</BillingCode><PriorBillingCodes><PriorBillingCode>LM487</PriorBillingCode></PriorBillingCodes><Name>Haemostatic Gauze  </Name><Description>Haemostatic Gauze</Description><Size>≤50cm²</Size><SupplierCode>ME</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>2024-11-01</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>2024-11-01</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>MN</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>39</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>177702</ARTG><ARTG>171589</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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><ARTGs><ARTG>240712</ARTG></ARTGs><MinimumBenefit>33</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ053</BillingCode><PriorBillingCodes><PriorBillingCode>LM486</PriorBillingCode></PriorBillingCodes><Name>Haemostatic Gauze </Name><Description>Haemostatic Gauze </Description><Size>&gt;75cm²</Size><SupplierCode>ME</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK032</BillingCode><Name>HANAROSTENT® HOT Plumber™ with Z-EUS IT™</Name><Description>A lumen apposing metallic stent is a prescription device that consists of a metallic stent, intended for placement to facilitate transmural endoscopic drainage of pancreatic pseudocysts, walled-off pancreatic necrosis and gallbladder. This stent is intended to be removed upon confirmation of cyst resolution.   This device also includes an electrocautery delivery system that is able to be connected to electrosurgical generator so electrode punch tip allows easy access to the targeted tissue when the pure cut mode is activated through compatible electrosurgical unit.  The stent is a flexible, fully silicone covered, self-expanding nitinol stent, which is preloaded within the electrocautery-enhanced delivery system. The electrocautery delivery system is designed to be used in the gastrointestinal tract in conjunction with commercially available echoendoscopes with a 3.7 mm diameter or larger working channel and is compatible with commercially-available 0.035-inch endoscopic guidewires.    The monopolar electrosurgical energy is used to delivery system and the generator is not included in this device.</Description><Size>Diameter 10–16mm, Length 20-40mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><SubGroupID>6011</SubGroupID><Suffix>Electrocautery</Suffix><ARTGs><ARTG>407746</ARTG></ARTGs><MinimumBenefit>4345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>3124</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>3124</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS246</BillingCode><Name>ABSORBATACK</Name><Description>Absorbable Fixation Device</Description><Size>5mm</Size><SupplierCode>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ542</BillingCode><Name>iReach Omnia Reload Units</Name><Description>Single Use Loading Units for Powered Articulating Staplers</Description><Size>30 to 60mm length</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>381247</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>292807</ARTG><ARTG>350112</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE560</BillingCode><Name>EndoWrist/SureForm Stapler Reloads (used with IS Endowrist/SureForm Stapler)</Name><Description>Endowrist/SureForm Stapler Reload.</Description><Size>SureForm 30, 45 &amp; 60mm</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><ARTG>452485</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>234042</ARTG><ARTG>125609</ARTG><ARTG>276233</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ628</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><ARTGs><ARTG>382171</ARTG><ARTG>382172</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ625</BillingCode><Name>Endo Reach ENDO III </Name><Description>Staple Cartridge  PPA</Description><Size>(45-60) mm length x (2.0 - 4.4) mm leg length </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>381247</ARTG><ARTG>446370</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ602</BillingCode><Name>Panther Reloading Unit for Endo Linear Cutter Stapler</Name><Description>Endo articulating reloading units for use with Panther Endo Linear Cutter Stapler (manual) and Panther Smart Endoscopic motorized cutting stapler, featuring smart reload identification and P3H or P2G technology.</Description><Size>30 - 60 mm reloading units, 2 - 5 mm staple height</Size><SupplierCode>WL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>386361</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ069</BillingCode><Name>AEON Endostapler Reload</Name><Description>Reload Staples</Description><Size>30mm-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><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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
Close Length - 1.5mm-2.0mm
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>2024-11-01</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
Close Length - 1.5mm-2.0mm
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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>124512</ARTG></ARTGs><MinimumBenefit>226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>185017</ARTG><ARTG>181429</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ587</BillingCode><Name>ECHELON CONTOUR GST Reload</Name><Description>ECHELON CONTOUR Gripping Surface Technology (GST) Reload, Blue and Green</Description><Size>Closed staple height, 1.5 - 2.0 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>124512</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE683</BillingCode><Name>SureForm</Name><Description>The Curved Tip anvil fits through a smaller dissection window allowing for easy access around vessels, and a 120 degree cone of articulation.</Description><Size>SureForm 30, 45 &amp; 60mm Straight and Curved Tip</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><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ573</BillingCode><Name>Echelon 3000 Stapler</Name><Description>Powered surgical stapling device</Description><Size>45-60mm</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>456246</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>287923</ARTG><ARTG>287417</ARTG></ARTGs><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ626</BillingCode><Name>iReach Magnum Endo Reach Stapler</Name><Description>Battery Powered Endoscopic Linear Stapler, single-use</Description><Size>(282 - 448) mm shaft length , (45-60) mm cartridge length </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>381246</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ903</BillingCode><Name>Echelon</Name><Description>Disposable stapling device</Description><Size>45-60mm</Size><SupplierCode>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ541</BillingCode><Name>iReach Omnia Powered Articulating Stapler</Name><Description>Powered Articulating Stapler, single-use</Description><Size>85 to 255mm </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>381246</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ623</BillingCode><Name>PANTHER SMART Endoscopic motorized cutting stapler</Name><Description>Single-use endoscopic motorized cutting stapler.</Description><Size>Shaft Length 62mm, 152mm, 252mm; Staple lengths 30mm, 45mm, 60mm</Size><SupplierCode>WL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>386366</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ605</BillingCode><Name>Panther Endo Linear Cutter Stapler</Name><Description>Endoscopic articulating stapler</Description><Size>Shaft Length: 60mm, 150mm, 250mm; Staple Lengths: 30mm, 45mm, 60mm</Size><SupplierCode>WL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>389982</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ904</BillingCode><Name>Echelon</Name><Description>Stapler</Description><Size>45 - 60mm</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>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
Medium - shaft length 160mm
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ574</BillingCode><Name>ECHELON ENDOPATH Staple Line Reinforcement</Name><Description>Staple line buttress with click and go applicator</Description><Size>60mm</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4319</SubGroupID><ARTGs><ARTG>448305</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>124512</ARTG><ARTG>99218</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>205331</ARTG><ARTG>205319</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ586</BillingCode><Name>ECHELON CONTOUR Curved Cutter Stapler</Name><Description>Curved cutter and stapler applier for gastrointestinal transection and resection</Description><Size>40 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>118291</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>559</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ746</BillingCode><Name>ECHELON CIRCULAR Powered Stapler</Name><Description>Powered Endoscopic Circular Staplers</Description><Size>23-31mm</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic, Circular</Suffix><ARTGs><ARTG>329572</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>205319</ARTG><ARTG>205331</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>132167</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>132167</ARTG><ARTG>133406</ARTG><ARTG>132166</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI214</BillingCode><Name>GIA™ Stapler With DST Series™</Name><Description>Single use reloadable linear cutting stapler designed with 4.8 mm, 3.8 mm, and 2.5 mm staple heights</Description><Size>2.5mm, 3.8mm, 4.8mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>181272</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS228</BillingCode><Name>ReliaTack™ Absorbable Tacks</Name><Description>5 x absorbable reloads to be used with ReliaTack articulating tacking device</Description><Size>5.1mm, 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>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS229</BillingCode><Name>ReliaTack™ Absorbable Tacks</Name><Description>10 x absorbable reloads to be used with ReliaTack atriculating tacking device</Description><Size>5.1mm, 10 tacks</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6003</SubGroupID><Suffix>10 Tacks, Absorbable</Suffix><ARTGs><ARTG>315822</ARTG></ARTGs><MinimumBenefit>323</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WL001</BillingCode><PriorBillingCodes><PriorBillingCode>LH528</PriorBillingCode></PriorBillingCodes><Name>LiquiBand Fix8</Name><Description>Hernia Mesh Fixation System, preloaded into applicator</Description><Size>33 tacks</Size><SupplierCode>WL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6004</SubGroupID><Suffix>Synthetic, Endoscopic</Suffix><ARTGs><ARTG>233374</ARTG><ARTG>314884</ARTG></ARTGs><MinimumBenefit>463</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ751</BillingCode><Name>Histoacryl LapFix Procedure Pack (Delivery System with Adhesive)</Name><Description>Histoacryl LapFix Surgical Procedure Kit is a laproscopic, single-use, non-medicated Class III medical device. It contains the delivery system and the adhesive.</Description><Size>Single Procedure Kit (Delivery System with Adhesive)</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6004</SubGroupID><Suffix>Synthetic, Endoscopic</Suffix><ARTGs><ARTG>430877</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>463</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>50</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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.
2.5X2.5cm</Size><SupplierCode>WA</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>2024-11-01</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>WA</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>2024-11-01</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>6253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ387</BillingCode><PriorBillingCodes><PriorBillingCode>LM492</PriorBillingCode></PriorBillingCodes><Name>DermaClose</Name><Description>DERMACLOSE continuous external tissue expander</Description><Size>Multiple lengths to suit size of wound</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1799</GroupID><SubGroupID>5499</SubGroupID><ARTGs><ARTG>341527</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM492
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>6253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1787</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN182</BillingCode><Name>Ultrapro Advanced</Name><Description>Macroporous, Partially Absorbable Mesh</Description><Size>Size (cm) 6x12, 7.6x15, 10x15;,quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><ARTGs><ARTG>390526</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>400716</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>10 cm x 15 cm</Size><SupplierCode>MI</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>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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
Elliptical 17x10 cm
Rectangular 15x10 cm</Size><SupplierCode>MI</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>2024-11-01</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
Round 15 cm, 12 cm
Elliptical 17x10
Round 9cm</Size><SupplierCode>MI</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>2024-11-01</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>MN</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA272</BillingCode><Name>Bard Onflex Mesh</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>398775</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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, 
16 x 12 cm left anatomical</Size><SupplierCode>MI</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>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>MI</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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, 
13x09 cm  Left Anatomical</Size><SupplierCode>MI</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>2024-11-01</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>MN</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN183</BillingCode><Name>Ultrapro Advanced</Name><Description>Macroporous, Partially Absorbable Mesh</Description><Size>Size (cm) 15x15;,quantity/pack 1 or 3</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><ARTGs><ARTG>390526</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>911</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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, 
Elliptical 20x12 cm
Rectangular 20x15cm</Size><SupplierCode>MI</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>2024-11-01</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>MI</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>MI</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>2024-11-01</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
Elliptical 25x15 cm, 
Elliptical 20x12 cm</Size><SupplierCode>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</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
hydrophilic film minimizes tissue attachment to the mesh in case
of direct contact with the viscera.)</Description><Size>Rectangular 30x20 cm,  
Rectangular 25x20 cm</Size><SupplierCode>MI</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>2024-11-01</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
25x20 cm Rectangle</Size><SupplierCode>MI</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>2024-11-01</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><MinimumBenefit>1074</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN184</BillingCode><Name>Ultrapro Advanced</Name><Description>Macroporous, Partially Absorbable Mesh</Description><Size>Size (cm) 15x30;,quantity/pack 1</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><ARTGs><ARTG>390526</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>390525</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN185</BillingCode><Name>Ultrapro Advanced</Name><Description>Macroporous, Partially Absorbable Mesh</Description><Size>Size (cm) 30x30;,quantity/pack 1</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><ARTGs><ARTG>390526</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN195</BillingCode><Name>PHYSIOMESH Open</Name><Description>Flexible Composite Mesh
</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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,
Rectangular 37x28cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>270735</ARTG></ARTGs><MinimumBenefit>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>270737</ARTG></ARTGs><MinimumBenefit>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>443901</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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 supplied with the TriView Anoscope.  </Description><Size>4 bands per ligator, 15mm in diameter</Size><SupplierCode>WA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>139361</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ015</BillingCode><PriorBillingCodes><PriorBillingCode>ER279</PriorBillingCode><PriorBillingCode>ER279</PriorBillingCode></PriorBillingCodes><Name>OverStitchTM Endoscopic Suturing System</Name><Description>Needle Driver, Anchor Exchange and Tissue Helix Device</Description><Size>1 size only</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5769</SubGroupID><Suffix>Endoscopic System</Suffix><ARTGs><ARTG>237774</ARTG><ARTG>237773</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ107</BillingCode><PriorBillingCodes><PriorBillingCode>ER280</PriorBillingCode><PriorBillingCode>ER280</PriorBillingCode></PriorBillingCodes><Name>OverStitchTM Endoscopic Suturing System - 2.0 Suture</Name><Description>Endoscopic Polyproprylene Suture with Cinch</Description><Size>2-0 suture</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>6101</SubGroupID><Suffix>Endoscopic System</Suffix><ARTGs><ARTG>245894</ARTG><ARTG>236906</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>30</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX006</BillingCode><Name>Horizon Ligating Clips  </Name><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>2024-11-01</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>MN</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>2024-11-01</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>MN</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>2024-11-01</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>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX012</BillingCode><Name>Horizon Ligating Clips  </Name><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX010</BillingCode><Name>Horizon Ligating Clips  </Name><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX008</BillingCode><Name>Horizon Ligating Clips  </Name><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ619</BillingCode><Name>DS Titanium Ligation-Clip without latch - Multipack</Name><Description>The DS titanium ligation-clips are used for the ligation of vessels and hollow organs 
and for marking anatomical structures.</Description><Size>Small</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ618</BillingCode><Name>DS Titanium Ligation-Clip with or without latch</Name><Description>The DS titanium ligation-clips are used for the ligation of vessels and hollow organs and for marking anatomical structures.</Description><Size>Small, Small-Medium, Medium, Medium-Large</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ617</BillingCode><Name>DS Titanium Ligation-Clip with or without latch</Name><Description>The DS titanium ligation-clips are used for the ligation of vessels and hollow organs and for marking anatomical structures.</Description><Size>Large</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ629</BillingCode><Name>Imedcare Plastic Clip Closure System</Name><Description>Plastic Ligating Clips, sterile, non-absorbable,  polyformaldehyde (POM),  (6 clips/cartridge)</Description><Size>Medium-Large, Large, Extra-Large </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><Suffix>Polymeric Non-resorbable</Suffix><ARTGs><ARTG>374950</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>9</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ676</BillingCode><Name>Heliclip Endoscopic Hemoclip</Name><Description>Hemoclip for endoscopic marking and hemostasis.</Description><Size>9mm, 12mm or 16mm Opening Span</Size><SupplierCode>CK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>371015</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ533</BillingCode><Name>Disposable Dual Action Tissue Closure Device</Name><Description>The Disposable Dual Action Tissue Closure Device is mainly composed of a clip component and a release device. The clip component is mainly composed of a clip and a clip pedestal.  The release device is mainly composed of a spring tube and a handle, and the handle is mainly composed
of a core bar, slide block and handle ring.</Description><Size>Opening width 15mm, Working Length 1650-2350mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic, Dual Action</Suffix><ARTGs><ARTG>418087</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>93446</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>185057</ARTG><ARTG>185054</ARTG></ARTGs><MinimumBenefit>738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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.
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>2002</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI217</BillingCode><Name>Premium Surgiclip™</Name><Description>Ligation Clips - Disposable clip applier and ligating clips</Description><Size>Small, Medium, Large Clips</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>235587</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WV001</BillingCode><PriorBillingCodes><PriorBillingCode>DE645</PriorBillingCode></PriorBillingCodes><Name>Padlock clip</Name><Description>Defect closure system</Description><Size>Diameter - 9.5 - 14mm  Length - 162cm</Size><SupplierCode>WV</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>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET068</BillingCode><Name>OTSC System</Name><Description>Has two components:
1. The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth; enables hemostasis as well as closing performations.

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.
Ovesco Twin Graspers : 165mm or 220mm
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>185056</ARTG><ARTG>185058</ARTG><ARTG>185054</ARTG><ARTG>18057</ARTG></ARTGs><MinimumBenefit>2002</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ319</BillingCode><PriorBillingCodes><PriorBillingCode>ER650</PriorBillingCode></PriorBillingCodes><Name>Apollo Endosurgery X-Tack™ Endoscopic HeliX Tacking System</Name><Description>The X-Tack™ System is intended for approximation of soft tissue in minimally invasive gastroenterology procedures (e.g. closure and healing of ESD/EMR sites, and closing of fistula, perforation or leaks).using tensioned helical tacks.     The X-Tack system comprises respective delivery systems for tacking and cinching; tethered stainless steel HeliX tacks; and a PEEK cinch system.    1. The delivery system is composed of biocompatible plastic and drives the HeliX tacks into the tissue. This is replaced with the PEEK cinching system when the defect is ready for compression.  2. The stainless steel HeliX tacks are placed around the defect with the tether providing compression when tensioned and so enabling closure.  Compression is maintained using a PEEK cinch which terminates the closing construct.  3. The PEEK cinching system is a delivery system that deploys a PEEK plug/collar to the tethering system to ensure the tissue in the defect area remains compressed.</Description><Size>160 and 235 cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic, OTS</Suffix><ARTGs><ARTG>376194</ARTG></ARTGs><MinimumBenefit>2002</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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.
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>2024-11-01</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>377045</ARTG></ARTGs><MinimumBenefit>844</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK012</BillingCode><Name>Lockado Clip and SureClip  </Name><Description>An endotherapy device used in combination with a compatible flexible  endoscope for the application of haemostatic clips to the mucosal lining  of the gastrointestinal (GI) tract for endoscopic marking, haemostasis,  tissue approximation, closure of luminal perforations, and/or for treating  mucosal/submucosal defects during an endoscopic procedure.</Description><Size>8mm, 11mm, 16mm, 20mm</Size><SupplierCode>AK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>261692</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WV002</BillingCode><Name>VIPER HemoClip </Name><Description>The Viper HemoClip Device consists of a pre-loaded, single use clip for the GI tract with one step deployment.</Description><Size>9mm, 11mm, 13mm, 16mm</Size><SupplierCode>WV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>408630</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA011</BillingCode><Name>Instinct Plus Endoscopic Clipping Device</Name><Description>The Instinct Plus Endoscopic Clipping Device consists of a single-use clip pre-loaded on a flexible delivery system. The device is designed to be compatible with forward viewing and side viewing endoscopes. The handle of the device allows the clip to be opened, closed, rotated, and deployed at the target site. </Description><Size>Opening span up to 16mm. Catheter 7Fr, length 230cm</Size><SupplierCode>WA</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>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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;
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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS299</BillingCode><Name>Resolution 360</Name><Description>Radiopaque, single-use clip pre-loaded on a flexible, rotatable delivery system</Description><Size>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>2024-11-01</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>2024-11-01</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><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO090</BillingCode><Name>Cochlear™ Nucleus® 8 (CP1110) Sound Processor - Hybrid™ Mode (initial)</Name><Description>The Nucleus 8 (CP1110) - Hybrid Mode is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the Nucleus 7 (CP1000) Sound Processor but with improved features such as smaller size, new directional noise reduction algorithm (SmartSound® iQ 2 with SCAN 2), Bluetooth® LE Audio Ready technology and automate function. The sound processor consists of the processing unit, Slimline™ coil, magnet and battery module. The Nucleus 8 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>394471</ARTG><ARTG>394472</ARTG><ARTG>394470</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD031</BillingCode><Name>Naida CI M90 / Sky CI M90 Sound Processor</Name><Description>Naida CI M90 Sound Processor  The Naída CI M90 and Sky CI M90 Sound Processors are behind-the-ear (BTE) sound processors for use with an Advanced Bionics cochlear implant. They feature direct connectivity to wireless accessories and Bluetooth® technology enabled devices. They offers multiple power options and wearing options for the user. The system is designed to provide useful hearing to individuals with severe-to-profound hearing loss. The coupling can be included to enable electro-acoustic stimulation. The Sky CI M90 Sound Processor is for paediatric application</Description><Size>27.5 x 29.2 x 9.2 (sound processor only)</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>411571</ARTG><ARTG>411570</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>6610</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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. 
Processor: H x W X D: 26 x 18 x 60mm
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO091</BillingCode><Name>Cochlear™ Nucleus® 8 (CP1110) Sound Processor - Hybrid™ Mode (replacement)</Name><Description>The Nucleus 8 (CP1110) - Hybrid Mode is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the Nucleus 7 (CP1000) Sound Processor but with improved features such as smaller size, new directional noise reduction algorithm (SmartSound® iQ 2 with SCAN 2), Bluetooth® LE Audio Ready technology and automate function. The sound processor consists of the processing unit, Slimline™ coil, magnet and battery module. The Nucleus 8 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>394470</ARTG><ARTG>394472</ARTG><ARTG>394471</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD032</BillingCode><Name>Naida CI M90 / Sky CI M90 Sound Processor</Name><Description>Naida CI M90 Sound Processor The Naída CI M90 and Sky CI M90 Sound Processors are behind-the-ear (BTE) sound processors for use with an Advanced Bionics cochlear implant. They feature direct connectivity to wireless accessories and Bluetooth® technology enabled devices. They offers multiple power options and wearing options for the user. The system is designed to provide useful hearing to individuals with severe-to profound hearing loss. The Sky CI M90 Sound Processor is for paediatric application</Description><Size>27.5 x 29.2 x 9.2 (processor only)  Size H x W x D in Millimeters</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>411571</ARTG><ARTG>411570</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>300028</ARTG><ARTG>282255</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE541</BillingCode><Name>Balloon G-Tube</Name><Description>Conventional Length Balloon Gastrostomy tube</Description><Size>12F-24F; 
Length: 10cm;
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>2024-11-01</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>2024-11-01</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 
15 Fr x 35 cm
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>2024-11-01</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>WA</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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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 

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>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>6037</SubGroupID><ARTGs><ARTG>219806</ARTG></ARTGs><MinimumBenefit>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>225230</ARTG><ARTG>225237</ARTG><ARTG>225231</ARTG><ARTG>225238</ARTG><ARTG>225229</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>225230</ARTG><ARTG>225237</ARTG><ARTG>225238</ARTG><ARTG>225229</ARTG><ARTG>225231</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>225237</ARTG><ARTG>225231</ARTG><ARTG>225238</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ708</BillingCode><Name>CareVis Pump and Catheter</Name><Description>Continuous flow rate ambulatory and disposable silicone balloon infusion pump kit</Description><Size>Volume 100 ml, 275 ml, 450 ml, 600 ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>443279</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ828</BillingCode><Name>SMARTeZ Plus Painbloc Single Use Elastomeric Infusion pump - Fixed Flow rate - Single patient use</Name><Description>The SMARTeZ Plus PainBloc pump is a single use soft-shell elastomeric pump, for single patient use only. The Painbloc pump provides continuous delivery of medication (local anesthetics &amp; analgesics) to or around surgical wound sites and/or close proximity to nerves for preoperative, perioperative and postoperative regional anesthesia and/or pain management.
Route of administration include: intraoperative site, peripheral nerve block, percutaneous and epidural.</Description><Size>270ml, 400ml and 600ml sizes. Fixed flow rates at 2ml /hr and 5ml/hr</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ832</BillingCode><Name>SMARTeZ RS Rigid Shell Single Use Elastomeric Infusion Pump</Name><Description>DESCRIPTION
The SMARTeZ RS Rigid Shell Elastomeric Infusion Pump (SINGLE USE for a Single patient),  elastomeric pump with rigid shell on the fluid reservoir. The device works independently of main power supplies or batteries, enabling patient to be treated in an ambulatory manner.
Fluid is delivered to patient by positive pressure applied by the elastomeric membranes on the fluid reservoir. The flow rate is determined by the combination of the flow restrictor (capillary tube) and positive pressure of the elastomeric membrane. This pressure delivers the fluid against the back pressure of the catheters and  infusion site. Suitable for short term and long term infusion.</Description><Size>Long Term Infusion: 60ml - 300ml, 0.5ml/hr to 11.5ml/hr flow rate.     Short Time Infusion: 50ml - 250ml, 50ml/hr to 250ml/hr flow rate.  </Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI050</BillingCode><Name>Neofuser Plus</Name><Description>Neofuser® Plus is a single-use, portable
elastomeric infusion pump that provides
medication at accurate continuous pre-fixed flow
with additional bolus doses via patient controlled
analgesia (PCA) module. Neofuser® Plus has
been mainly designed for systemic or regional
preoperative and postoperative pain
management therapy.</Description><Size>60 ml
60 ml
100ml
100ml
275ml
275ml
450 ml
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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ712</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>275ml, 400ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>288197</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ714</BillingCode><Name>Elasto-Q Infusion Pump</Name><Description>Elastomeric Infusion Pump System</Description><Size>200ml, 275ml, 500ml</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>409240</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ831</BillingCode><Name>SMARTeZ Rigid Shell Single Use Elastomeric Infusion Pump - Chemotherapy</Name><Description>SMARTeZ Rigid Shell Single use Elastomeric Infusion Pump - Chemotherapy-rated pumps are available with and without a bonded closed system transfer device attachment. (CSTD) providing a true closed system for the safety of both the patient and caregivers. Product is used for a single patient only.</Description><Size>Size, 60ml - 275ml. Flow rates: 0.5mL/hr to 100mL/hr</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ701</BillingCode><Name>Accufuser Set Rate</Name><Description>Set Rate Elastomeric Pump</Description><Size>60ml 100ml  200ml 300ml  (o.5 ml hr to 100ml per hr) </Size><SupplierCode>LE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>329420</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ825</BillingCode><Name>SMARTeZ Soft Shell Elastomeric Infusion Pump</Name><Description>The SMARTeZ Soft Shell Elastomeric Infusion Pump pump has a specially designed multi-layered balloon-like reservoir to be filled with the drug or fluid intended for infusion. It exerts mechanical pressure to administer the contents at a predetermined flow rate. The entire unit is sterile and is intended for single use only.</Description><Size>Long Infusion: Filling Volume: 60ml - 400ml, Flow Rate: 0.5ml/h - 10ml/h  Short Infusion: Filling Volume: 50ml - 500ml, Flow Rate: 50ml/h - 500ml/h</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ829</BillingCode><Name>SMARTeZ Plus Single Use Painbloc Elastomeric Infusion pump - Variable Flow Rate and PCA Bolus</Name><Description>SMARTeZ Plus Single Use Painbloc Elastomeric Infusion pump - Variable Flow Rate and PCA Bolus is intended to provide adjustable flow rate delivery of medication (local anesthetics &amp; analgesics) to or around surgical wound sites and/or close proximity to nerves for preoperative, perioperative and postoperative regional anesthesia and/or pain management, with the additional option of PCA Bolus administration.
Route of administration include: intraoperative site, peripheral nerve block, percutaneous and epidural. For single patient use only
</Description><Size>Sizes: 270ml, 400ml and 600ml. Variable Flow rate options 0-7ml/hr and 0-14ml/hr. PCA Bolus options: 2ml -5ml / 30 minute PCA Bolus options</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ706</BillingCode><Name>Accufuser Select </Name><Description>The Accufuser select is an advanced disposable infusion device that delivers fluid and
medication at an accurate and selectable flow rate.</Description><Size>100ml 200ml 300ml 600ml 0 -15.0ml/hr</Size><SupplierCode>LE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>329420</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ830</BillingCode><Name>SMARTeZ Plus Single Use Painbloc Elastomeric Infusion pump - Variable Flow Rate controller</Name><Description>SMARTeZ Plus Single Use Painbloc Elastomeric Infusion pump with Variable Flow Rate controller is intended to provide delivery of medication (local anesthetics &amp; analgesics) to or around surgical wound sites and/or close proximity to nerves for preoperative, perioperative and postoperative regional anesthesia and/or pain management, for single patient use The variable flow controllers allow for the delivery rate to be adjusted in 2ml increments from 2ml-14ml hour, or in 1 ml increments from 1ml-7ml per hour.
Route of administration include: intraoperative site, peripheral nerve block, percutaneous and epidural.
</Description><Size>Sizes: 270ml, 400ml and 600ml.   Variable flow rates: 0-14ml/hr with 2 ml/hour increments,  1-7ml/hr with 1ml/hour increments.</Size><SupplierCode>AAK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ713</BillingCode><Name>AutoSelector Kits with Ace Catheter Set &amp; AutoSelector Continuous Type NRFit</Name><Description>Disposable elastomeric balloon infusion pump intended for continuous and/or intermittent infusion of medication for general infusion use including chemotherapy and pain management therapies.</Description><Size>400ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>47190</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ715</BillingCode><Name>AutoSelector Interface Option &amp; AutoSelector Continuous Type NRFit Leur</Name><Description>AutoSelector Interface Option &amp; AutoSelector Continuous Type NRFit Leur is a disposable elastomeric infusion pump with an integrated flow regulator that allows flexible flow rate settings.
Multiple choice in flow rates and PCA options allow you to customize the patient’s pain control.
It has a significantly low initial filling counter pressure which makes it easy for pharmacists to prepare the infusion pump.</Description><Size>400ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>288197</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ707</BillingCode><Name>CareVis Vario Plus Pump</Name><Description>Ambulatory and disposable silicone balloon infusion pump with bolus function</Description><Size>Volume 100 ml, 275 ml, 450 ml, 600 ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>443279</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI051</BillingCode><Name>Neofuser Vario</Name><Description>Single-use, portable
elastomeric multirate infusion pump</Description><Size>1 - 7 ml/h
2 - 14 ml/h
1 - 7 ml/h
2 - 14 ml/h
1 - 7 ml/h
2 - 14 ml/h
1 - 7 ml/h
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>2024-11-01</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>2024-11-01</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
Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr x 65ml
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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ704</BillingCode><Name>Autofuser Elastomeric Infusion Pump with Bolus</Name><Description>AutoFuser Elastomeric infusion pump family are disposable pain control pumps with an integrated administration set and variable rate regulator(s), either separately or as part of a convenience pack, is intended for general infusion use. Routes of administration include intravenous, percutaneous, subcutaneous, intra-arterial and epidural, and into intra-operative (soft tissue/body cavity) sites. Within the AutoFuser/AutoSelector family are pump models intended for patient-controlled infusion using the integrated bolus button. General infusion uses include continuous infusion of a local anesthetic near a nerve for regional anesthesia and pain management for pre-operative, peri-operative and post-operative surgery.</Description><Size>60ml, 275ml, 400ml, 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><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ711</BillingCode><Name>AutoSelector Interface Option &amp; AutoSelector Continuous Type NRFit Leur</Name><Description>AutoSelector Dual Interface Infusion Pump is a disposable elastomeric infusion pump with dual integrated flow regulators that allow flexible bilateral flow rate settings.</Description><Size>400ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>288197</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ710</BillingCode><Name>CareVis Vario Pump and Catheter</Name><Description>Variable flow rate ambulatory and disposable silicone balloon infusion pump kit</Description><Size>100 ml, 275 ml, 450 ml, 600 ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>443279</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ703</BillingCode><Name>Accufuser Plus PCA</Name><Description>The Accufuser Plus - PCA is an advanced infusion device that delivers fluid and
medication at an acccurate and selectable flow rate and the ability to provide PCA bolus
function. It is indicated for continuous regional nerve block, surgical site and palliative care
infusions</Description><Size>60ml , 100ml, 200ml, 300ml, 600ml, Variable basal, PCA bolus and lock out select capability </Size><SupplierCode>LE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>329420</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ050</BillingCode><PriorBillingCodes><PriorBillingCode>ER410</PriorBillingCode><PriorBillingCode>ER410</PriorBillingCode></PriorBillingCodes><Name>TIGR Matrix Surgical Mesh-Small</Name><Description>TIGR Matrix Surgical Mesh-Small, biosynthetic</Description><Size>10x15 cm</Size><SupplierCode>BP</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ756</BillingCode><Name>GORE SYNECOR Intraperitoneal Biomaterial</Name><Description>GORE SYNECOR Intraperitoneal Biomaterial (SYNECOR IP) is a hybrid, tri-layer composite synthetic mesh, comprised of a non-absorbable macroporous knit constructed of dense monofilament polytetrafluoroethylene (PTFE) fibres. The visceral surface is a bioabsorbable synthetic nonporous film comprised of poly (glycolide:trimethylene carbonate) copolymer (PGA:TMC). The parietal surface is a bioabsorbable synthetic porous structure (3D) comprised of PGA:TMC copolymer. </Description><Size>12 cm Circle, 10 cm x 15 cm Oval</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>401130</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ755</BillingCode><Name>GORE SYNECOR Intraperitoneal Biomaterial</Name><Description>GORE SYNECOR Intraperitoneal Biomaterial (SYNECOR IP) is a hybrid, tri-layer composite synthetic mesh, comprised of a non-absorbable macroporous knit constructed of dense monofilament polytetrafluoroethylene (PTFE) fibres. The visceral surface is a bioabsorbable synthetic nonporous film comprised of poly (glycolide:trimethylene carbonate) copolymer (PGA:TMC). The parietal surface is a bioabsorbable synthetic porous structure (3D) comprised of PGA:TMC copolymer. </Description><Size>15 cm x 20 cm Oval</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>401130</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ049</BillingCode><PriorBillingCodes><PriorBillingCode>ER411</PriorBillingCode><PriorBillingCode>ER411</PriorBillingCode></PriorBillingCodes><Name>TIGR Matrix Surgical Mesh-Medium</Name><Description>TIGR Matrix Surgical Mesh-Medium, biosynthetic</Description><Size>15x20 cm</Size><SupplierCode>BP</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ757</BillingCode><Name>GORE SYNECOR Intraperitoneal Biomaterial</Name><Description>GORE SYNECOR Intraperitoneal Biomaterial (SYNECOR IP) is a hybrid, tri-layer composite synthetic mesh, comprised of a non-absorbable macroporous knit constructed of dense monofilament polytetrafluoroethylene (PTFE) fibres. The visceral surface is a bioabsorbable synthetic nonporous film comprised of poly (glycolide:trimethylene carbonate) copolymer (PGA:TMC). The parietal surface is a bioabsorbable synthetic porous structure (3D) comprised of PGA:TMC copolymer.</Description><Size>20 cm x 25 cm Rectangle and 20 cm x 30 cm Rectangle</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>401130</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ048</BillingCode><PriorBillingCodes><PriorBillingCode>ER412</PriorBillingCode><PriorBillingCode>ER412</PriorBillingCode></PriorBillingCodes><Name>TIGR Matrix Surgical Mesh-Large</Name><Description>TIGR Matrix Surgical Mesh-Large, biosynthetic</Description><Size>20x30 cm</Size><SupplierCode>BP</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB385</BillingCode><Name>Celsite Access Port</Name><Description>Single Access Port</Description><Size>Standard 32 x 27 x 12.2mm  Small  26 x 22 x 9.7mm  Baby/Brachial 22 x 18 x 8.7mm  </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>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>405270</ARTG></ARTGs><MinimumBenefit>121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
Catheter outer diameter = 11 French, catheter length = 13cm
Catheter outer diameter = 13 French, catheter length = 10cm
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>2024-11-01</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>324895</ARTG><ARTG>218317</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN001</BillingCode><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>321900</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>WA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>139357</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB016</BillingCode><Name>Skater All-Purpose Drainage Catheter</Name><Description>Locking and non-locking catheter sets with removable pigtail straightener, metal stiffening cannula, flexible stiffening Cannula (not available on 6F and 7F) and locking system with snap-off tab (not available on non-locking pigtail catheters)</Description><Size>Catheter french size  6-16F by 15-60cm length</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>2024-11-01</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>WA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>5489</SubGroupID><ARTGs><ARTG>138381</ARTG></ARTGs><MinimumBenefit>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
8Fx40cm, 10Fx40cm, 12Fx40cm
Biliary Drainage Catheter w/Non-Locking Pigtail
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>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN006</BillingCode><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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
7-17cm</Size><SupplierCode>OW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>6000</SubGroupID><ARTGs><ARTG>108467</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>108467</ARTG><ARTG>328288</ARTG></ARTGs><MinimumBenefit>108</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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)
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>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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ325</BillingCode><Name>Glaukos iStent Infinite System</Name><Description>The iStent infinite System consists of a single-use pre-loaded injector designed to deliver, with an unlimited insertion mechanism, three intraocular stents (Model G2-W) through a single incision into Schlemm’s canal, creating a bypass through the trabecular meshwork to increase physiological aqueous outflow and reduce IOP. The stents used in the iStent infinite System are identical to those in iStent inject W (Billing code RQ084), which is designed to deliver two stents. 

As per the TGA submission and associated Instructions for Use, the iStent infinite is intended to reduce IOP in adult patients with primary open-angle glaucoma, pseudo-exfoliative glaucoma or pigmentary glaucoma, and can be performed with or without cataract surgery. It may also be implanted in patients who continue to have elevated IOP despite prior treatment with glaucoma medications and/or conventional glaucoma surgery. </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>444851</ARTG></ARTGs><MinimumBenefit>1444</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ051</BillingCode><PriorBillingCodes><PriorBillingCode>AW027</PriorBillingCode><PriorBillingCode>AW027</PriorBillingCode></PriorBillingCodes><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>KK</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK033</BillingCode><Name>MINIject</Name><Description>The MINIject implant is a network of hollow spheres made of silicone which enhances suprachoroidal outflow of aqueous humor to reduce intraocular pressure in glaucoma patients. The MINIject delivery device has a polyimide sheath. </Description><Size>5mm long</Size><SupplierCode>UK</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6442</SubGroupID><ARTGs><ARTG>400268</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK034</BillingCode><Name>MINIject S</Name><Description>The MINIject implant is a network of hollow spheres made of silicone which enhances suprachoroidal outflow of aqueous humor to reduce intraocular pressure in glaucoma patients. The MINIject S delivery device has a nitinol sheath.</Description><Size>5mm long</Size><SupplierCode>UK</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6442</SubGroupID><ARTGs><ARTG>400268</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ736</BillingCode><Name>SIGNUS DIPLOMAT Deformity System– Transverse connector</Name><Description>SIGNUS DIPLOMAT Deformity System – Transverse connector comprising a cross bar and 2 cross bar clamps incl. grub screws, non-sterile and sterile </Description><Size>4.0x50 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>458187</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ444</BillingCode><PriorBillingCodes><PriorBillingCode>JQ046</PriorBillingCode></PriorBillingCodes><Name>Invictus Cross Connector </Name><Description>(Head to Head) or (Rod To Rod) Fixation Style, Adjustable, Ti Alloy</Description><Size>(9-101)mm  width  +/-  3mm travel </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ046
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ171</BillingCode><Name>Coral Fixed Cross Connector</Name><Description>The Coral Spinal System offers a full range of implants for adaptation to most surgical needs. Coral Spinal System is a spinal fixation device intended for use as a posterior pedicle screw fixation system, a posterior non-pedicle screw fixation system, or as an anterolateral fixation system. Cross-links allow for greater strength of construct.</Description><Size>10mm-40mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU159</BillingCode><Name>MUST MINI  Cross Connector</Name><Description>Cross Connector</Description><Size>15-70 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH054</BillingCode><Name>Crosslink</Name><Description>Crosslink Adjustable Connector</Description><Size>28-52mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW026</BillingCode><PriorBillingCodes><PriorBillingCode>ZI908</PriorBillingCode></PriorBillingCodes><Name>Virage Rod to Rod Transverse Connector</Name><Description>Rod to Rod Transverse Connector</Description><Size>XS, S, M, L, XL</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW021</BillingCode><Name>WEGO Spinal Systems </Name><Description>Plates</Description><Size>All sizes &amp;lt;55 mm</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW025</BillingCode><PriorBillingCodes><PriorBillingCode>ZA001</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Fixed Cross Connector</Name><Description>Fixed length cross connector, titanium</Description><Size>21mm X 5.5mm - 31mm X 5.5mm &amp; 21mm Wide X 6.0mm - 31mm Wide X 6.0mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU053</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - cross connector (fixed)</Name><Description>Cross connector monobloc</Description><Size>Length: 18, 21, 24, 27, 30mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU064</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Cross Connector</Name><Description>Head-to-head cross connectors  </Description><Size>Length: 20-25mm, 25-30mm, 30-35mm, 35-40mm, 40-45mm, 45-50mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY044</BillingCode><PriorBillingCodes><PriorBillingCode>DE586</PriorBillingCode></PriorBillingCodes><Name>Jazz Frame T-Bar</Name><Description>Fixed transverse rod-to-rod connector</Description><Size>25mm, 30mm, 35mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY545</BillingCode><Name>Monarch Spinal System</Name><Description>Threaded Connector</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN261</BillingCode><Name>SYMPHONY OCT System</Name><Description>Head to head cross connectors</Description><Size>20-70mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY043</BillingCode><PriorBillingCodes><PriorBillingCode>DE553</PriorBillingCode></PriorBillingCodes><Name>Jazz Claw Posterior Fixation System - Connector</Name><Description>Connector with dual locking screws for Jazz Claw Connector</Description><Size>One size</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>200830</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB170</BillingCode><Name>REVERE Anterior Staple System - Cross Connector</Name><Description>Top Tightening Cross Connector</Description><Size>13mm -20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU024</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Straight Cross Connector</Name><Description>Straight cross connector</Description><Size>Length: 18mm, 21mm, 24mm, 27mm, 30mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF108</BillingCode><Name>Freedom Crosslink Connector</Name><Description>Crosslink Connectors</Description><Size>Small, medium, large, x-large</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER516</BillingCode><PriorBillingCodes><PriorBillingCode>EU004</PriorBillingCode></PriorBillingCodes><Name>e.Spine Transverse Link</Name><Description>Titanium spine transverse link</Description><Size>Lengths 35, 46, 60, 70, 80 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>171952</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK241</BillingCode><Name>Xia Spinal System</Name><Description>Titanium or Stainless Steel Cross Connector</Description><Size>15-20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>279160</ARTG><ARTG>279150</ARTG><ARTG>279151</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER182</BillingCode><Name>SIGNUS DIPLOMAT DEFORMITY System– Transverse connector</Name><Description>DIPLOMAT DEFORMITY System – transverse connector comprising a cross bar and 2 cross bar clamps with grub screws.</Description><Size>4.0x50 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW783</BillingCode><PriorBillingCodes><PriorBillingCode>ER555</PriorBillingCode></PriorBillingCodes><Name>Yukon Head to Head Connectors</Name><Description>Head to Head transverse connector</Description><Size>Small, Medium, Large and Extra Large</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK227</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Connector - Transverse; Offset; Cross; Rod to Rod; Axial</Description><Size>For rod diameters from 3.5mm to 6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>279144</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER665</BillingCode><Name>LnK AccelFix Spinal Fixation System-Connector, lateral, fixed</Name><Description>AccelFix Spinal Fixation System-Connector, lateral, fixed, Ti, sterile</Description><Size>Diameter: 5.2-6.5 mm  Length: 16-83 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW754</BillingCode><PriorBillingCodes><PriorBillingCode>ER200</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems – Fixed Cross Connector</Name><Description>Fixed Cross Connector</Description><Size>14-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM445</BillingCode><PriorBillingCodes><PriorBillingCode>NK060</PriorBillingCode></PriorBillingCodes><Name>Excella System Connectors</Name><Description>Excella Cross Connectors - Fixed</Description><Size>20 to 35 mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER450</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, transverse</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, crosslink rod to rod; fixed</Description><Size>dia (5.2-6.5mm) x length (15-83mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB006</BillingCode><PriorBillingCodes><PriorBillingCode>SV064</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Cross Connector System (transverse rod to rod fixed)</Name><Description>STERISPINE™ Cross Connector System (tranverse rod to rod, fixed)</Description><Size>20-36 mm  34-50 mm  48 -64 mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER554</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Cross Connector  </Name><Description>Adjustable Cross Connector, compatible with dia 5.5 mm and 6.0 mm MOSS Rods  </Description><Size>70mm - 110mm  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER140</BillingCode><Name>Signus Pedical Screw System-Cross Link</Name><Description>Cross Link-as part of Signus Pedicle Screw System Construct</Description><Size>MP 0150-0038-38 mm; MP-0150-0042-42 mm;MP-0150-0050-50 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB011</BillingCode><Name>DPS Spine System - Transconnector Fixed</Name><Description>Fixed transconnector for spinal fixation system.</Description><Size>Diameter 5.5/6.0mm; Length 50 - 80mm.</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH746</BillingCode><PriorBillingCodes><PriorBillingCode>LM499</PriorBillingCode></PriorBillingCodes><Name>Inline Connectors</Name><Description>Inline Connectors</Description><Size>7.5 to 17 mm </Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>362890</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV063</BillingCode><Name>Armada (Fixed cross connector)</Name><Description>Fixed cross connector</Description><Size>5.5mm x 20-60mm
5.5mm, 5.5mm-6.35mm
5.5, 15mm-40mm x 200mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV111</BillingCode><Name>Reline (Fixed Cross Connector)</Name><Description>Fixed Cross Connector</Description><Size>11-80mm length; to fit 4.5-6.5 mm rod diameter</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ378</BillingCode><PriorBillingCodes><PriorBillingCode>NK011</PriorBillingCode><PriorBillingCode>LM459</PriorBillingCode></PriorBillingCodes><Name>Capless LI  Pedicle screw system - X Link cross connector - Fixed</Name><Description>Titanium, lowprofile transverse crossconnector</Description><Size>low profile, multiple sizes, 25-35mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>159605</ARTG><ARTG>170220</ARTG><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM459
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ652</BillingCode><Name>Cross Connector - Expedium Anterior Spine System</Name><Description>Drop and Lock One Piece Connector-Titanium</Description><Size>13 to 20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI458</BillingCode><Name>PASS LP System - Crosslinks</Name><Description>Crosslinks</Description><Size>Diameter: 5.5mm - 6.0mm Length: 10mm - 72mm; small and medium</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>295277</ARTG><ARTG>316001</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI474</BillingCode><PriorBillingCodes><PriorBillingCode>NK089</PriorBillingCode></PriorBillingCodes><Name>Crosslinks</Name><Description>Crosslinks</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI250</BillingCode><Name>CD Horizon</Name><Description>Crosslink Plates - Fixed</Description><Size>10 to 200mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ665</BillingCode><Name>Katana Crosslinks</Name><Description>Fixed Crosslinks</Description><Size>19mm-27mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV100</BillingCode><Name>Vuepoint (Adjustable Cross Connector)</Name><Description>The VuePoint OCT System is intended to promote fusion of the cervical spine and occipito-thoracic junction (Occiput-T3), and is indicated for; 1: Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confimred by patient history and radiographic studies), 2: Degenerative spondylolisthesis with objective evidence of neurologic impairment, 3: Fractur/Dislocation, 4: Spinal Stenosis, 5: Atlantaxial fracture with instability, 6; Occipitocervical dislocation, 7: Spinal tumor and/or 8: revision of previous cervical spine surgery</Description><Size>One size only</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB228</BillingCode><Name>Aesculap Spinal System</Name><Description>Cross Connector</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV020</BillingCode><Name>VuePoint Fixed Cross Connector</Name><Description>Fixed cross connector</Description><Size>26mm-50mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB051</BillingCode><Name>ELLIPSE Occipito Cervico Thoracic Stabilization System</Name><Description>T-Connector and Locking Nut</Description><Size>21mm - 63mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER527</BillingCode><Name>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Crosslink</Name><Description>LnK Posterior Cervical Fixation System/CastleLoc-S Posterior Cervical Fixation System-Crosslink Plate Type, Bar type, Hybrid Type, non-sterile or sterile</Description><Size>closed 29-42 mm; extended 34-58 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB009</BillingCode><Name>Lunfix Cross Connector</Name><Description>Adjustable Cross Connector</Description><Size>(20-80) minimum sie to (25-98)mm expanded size </Size><SupplierCode>VB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>327225</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER328</BillingCode><Name>SIGNUS Diplomat Pedicle Screw System – Transverse Connector, adjustable</Name><Description>SIGNUS Diplomat Pedicle Screw System – Cross Connector, adjustable</Description><Size>small 35-45mm  medium 41-58mm  large 54-82mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>216751</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM446</BillingCode><PriorBillingCodes><PriorBillingCode>NK061</PriorBillingCode></PriorBillingCodes><Name>Excella System Connectors</Name><Description>Pedicle Screw System Rod Connectors - Transverse adjustable</Description><Size>Fits 5.5 or 6mm rods  Various sizes from 39 to 81 mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>295225</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ027</BillingCode><Name>Centaur Cross Connector, Centaur Screw System</Name><Description>Cross Connector - rod to rod - Adjustable</Description><Size>10mm - 90mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>217033</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER451</BillingCode><Name>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, transverse, adjustable</Name><Description>LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Connector, transverse, adjustable</Description><Size>closed 30-50mm; extended 34-74 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>286123</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER316</BillingCode><Name>Ulrich posterior OCT System (neon3)-Connector, transverse</Name><Description>Ulrich posterior OCT System (neon3)- Crosslink, adjustable, screw to screw and rod to rod</Description><Size>length adjustable within range of 34-50 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB012</BillingCode><Name>DPS Spine System - Transconnector Adjustable</Name><Description>Adjustable transconnector for spinal fixation system.</Description><Size>Diameter 5.5/6.0mm; Adjustable lengths: 34-39mm, 38-49mm, 48-68mm.</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB229</BillingCode><Name>Aesculap Spinal System</Name><Description>Cross, Domino, Axial, Lateral Connector</Description><Size>All Sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH578</BillingCode><Name>Pine Adjustable Cross Link</Name><Description>Rod - Rod Connector</Description><Size>30-80mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>274913</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV047</BillingCode><Name>Armada</Name><Description>Arch, adjustable transverse connector</Description><Size>20-70mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW028</BillingCode><PriorBillingCodes><PriorBillingCode>ZI999</PriorBillingCode></PriorBillingCodes><Name>Vitality Spine System - Multi-Span Cross Connector</Name><Description>Adjustable length cross connector, titanium</Description><Size>33-36mm Wide X 5.5mm - 70-90mm Wide X 6.0mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH061</BillingCode><Name>Crosslink</Name><Description>Crosslink Connector</Description><Size>20-80mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV118</BillingCode><Name>Reline (Adjustable Cross Connector)</Name><Description>Adjustable Cross Connector</Description><Size>20-100mm length; to fit 4.5-6mm rod diameter</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>209199</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF007</BillingCode><Name>Smartloc Spinal Fixation System/Transverse Link</Name><Description>Cross link for Smartloc Spinal Fixation System</Description><Size>Telescopes to 70mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>150778</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ744</BillingCode><Name>SIGNUS DIPLOMAT Pedicle Screw System – Transverse Connector, adjustable</Name><Description>SIGNUS DIPLOMAT Pedicle Screw System – Cross Connector, adjustable, non-sterile and sterile, incl. set screws</Description><Size>small, medium, large</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>48157</ARTG><ARTG>458188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ379</BillingCode><PriorBillingCodes><PriorBillingCode>NK012</PriorBillingCode><PriorBillingCode>LM406</PriorBillingCode></PriorBillingCodes><Name>Capless LI  Pedicle screw system - X Link cross connector - Variable</Name><Description>Titanium, lowprofile transverse dual articulation crossconnector</Description><Size>Low profile, Multiple sizes, 37-80mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>159605</ARTG><ARTG>170220</ARTG><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM406
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT014</BillingCode><Name>SOLFIX2 Cross Links</Name><Description>Cross links</Description><Size>29mm - 63mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>320880</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ063</BillingCode><Name>Centaur Spinal System</Name><Description>Cross Connector - rod to rod - adjustable</Description><Size>26mm-82mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>407189</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY011</BillingCode><Name>Reform POCT Cross Connector</Name><Description>Cross Connector</Description><Size>Diameter 3.5mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB159</BillingCode><Name>QUARTEX T-Connectors</Name><Description>Rod to Rod and Head to Head T-Connectors</Description><Size>21mm to 57mm - 27mm to 63mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER657</BillingCode><Name>Biedermann Motech MOSS Spinal Fixation System-Ti Cross Connector-adjustable    </Name><Description>Biedermann Motech MOSS Spinal Fixation System-Ti Cross Connector-adjustable, compatible with dia 5.5 mm and 6.0 mm MOSS Rods   </Description><Size>35-100 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>337238</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW390</BillingCode><Name>XIA Spine System</Name><Description>Cross Link</Description><Size>Length 20mm - 99mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>279160</ARTG><ARTG>279150</ARTG><ARTG>279151</ARTG><ARTG>279159</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER337</BillingCode><Name>Ulrich Pedicle Screw System-Transverse connectors, adjustable</Name><Description>Ulrich Pedicle Screw System (uCentum)-crosslink connectors, adjustable, with or without hook, supplied pre-assembled with grub screws, sterile or non-sterile</Description><Size>closed (35-92) mm x open (43-107 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB057</BillingCode><Name>ELLIPSE Stabilization System, Top Loading T-Connector</Name><Description>T-Connector</Description><Size>21mm - 56mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY007</BillingCode><Name>Reform Crosslinks</Name><Description>Crosslinks Adjustable</Description><Size>Length 20mm to 100mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>287905</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW728</BillingCode><PriorBillingCodes><PriorBillingCode>ER019</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems</Name><Description>Transverse Connector</Description><Size>3.5 – 5.5mm rod /rail diameter 14 - 93mm width</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER666</BillingCode><Name>LnK AccelFix Spinal Fixation System-connector, lateral, adjustable</Name><Description>AccelFix Spinal Fixation System-connector, lateral, adjustable</Description><Size>Diameter: 5.2-6.5 mm  Lentgth: Adjustable from (28-35) mm to (52-83) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>384815</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER584</BillingCode><PriorBillingCodes><PriorBillingCode>OF025</PriorBillingCode></PriorBillingCodes><Name>Spinal Fixation System</Name><Description>Multi Axial Cross Connector Assembly – Titanium/Lateral Offset</Description><Size>5.5mm-80mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER632</BillingCode><PriorBillingCodes><PriorBillingCode>OF065</PriorBillingCode></PriorBillingCodes><Name>Centurion Cross Connectors</Name><Description>Adjustable Cross Connector</Description><Size>20mm – 50mm in 5mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE672</BillingCode><Name>icotec Pedicle System Cross Link</Name><Description>Adjustable cross link</Description><Size>30-34mm  33-42mm  40-53mm  50-70mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>283854</ARTG><ARTG>283853</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW027</BillingCode><PriorBillingCodes><PriorBillingCode>ZI909</PriorBillingCode></PriorBillingCodes><Name>Virage Head to Head Transverse Connector</Name><Description>Transverse Connector Adjustable</Description><Size>XS, S, M, L, XL</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU204</BillingCode><Name>M.U.S.T. Mini Cross Connectors</Name><Description>Top Loading Cross Connectors</Description><Size>21-68 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>404164</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW050</BillingCode><Name>WEGO Spinal Systems</Name><Description>Connectors</Description><Size>All Sizes</Size><SupplierCode>GW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>330363</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE768</BillingCode><Name>NorthStar OCT</Name><Description>NorthStar OCT Crossbar - Screw to Screw,  Screw to Rod Connector, Rod to Rod</Description><Size>3.5 &amp; 4mm  SM: 21-26mm  MD: 24-32mm  LG: 34-44mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB216</BillingCode><Name>CREO® Cross Connector</Name><Description>Cross Connector</Description><Size>20-78mm to 22-91mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY250</BillingCode><Name>Universal Spine System</Name><Description>Low Profile Transconnector</Description><Size>18-83mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI291</BillingCode><PriorBillingCodes><PriorBillingCode>MI247</PriorBillingCode><PriorBillingCode>MI249</PriorBillingCode></PriorBillingCodes><Name>CD Horizon</Name><Description>Crosslink Plates - Adjustable</Description><Size>10 to 200mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB186</BillingCode><Name>CREO DLX Cross Connector</Name><Description>Adjustable Cross Connectors</Description><Size>20mm-78mm to 22mm-91mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY079</BillingCode><PriorBillingCodes><PriorBillingCode>DR009</PriorBillingCode></PriorBillingCodes><Name>Life Spine Pedicle Screw System - Transverse Connectors, Adjustable</Name><Description>Life Spine Pedicle Screw System - Transverse Connectors, Adjustable. Arched or Straight</Description><Size>Closed (25-90)mm x Open (32-100)mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>321122</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY018</BillingCode><Name>Katana Cross-Connector</Name><Description>Adjustable</Description><Size>Extra Small to Extra Large, 22-44 x 28-75</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH091</BillingCode><Name>Crosslink </Name><Description>Crosslink </Description><Size>Diameter : 5.5 mm &amp; 6.0 mm   Length : 32 mm - 75 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>380418</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY398</BillingCode><Name>Axon Spinal System - Transconnector</Name><Description>Axon Transconnector</Description><Size>60mm - 75mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB002</BillingCode><Name>Vertefix ll Locking screw</Name><Description>Transverse connector rod system</Description><Size>One size only</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN259</BillingCode><Name>SYMPHONY OCT System</Name><Description>Rod to rod cross connectors</Description><Size>20-64mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>178040</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB026</BillingCode><Name>REVERE Cross Connectors</Name><Description>Cross Connectors</Description><Size>4.5mm 20mm-78mm
5.5mm 29mm-91mm
6.35mm 29-90mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ096</BillingCode><Name>RESPONSE Spine System – Cross Connector</Name><Description>Cross Connector</Description><Size>XS - XL
20-80mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>233454</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP412</BillingCode><Name>Moss Miami (Titanium)</Name><Description>Transverse Connector - Complete</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>142432</ARTG><ARTG>145010</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU124</BillingCode><Name>M.U.S.T LINK - Cross Connector</Name><Description>Cross Connector</Description><Size>19-100mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>222457</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF015</BillingCode><Name>Centaur Cross Connector, Centaur Screw System</Name><Description>Cross Connector - rod to rod - Adjustable</Description><Size>10mm - 90mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>166153</ARTG><ARTG>203838</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU049</BillingCode><Name>Perla TL Posterior thoraco-lumbar fixation system - cross connector (adjustable)</Name><Description>Multiaxial cross connector - straight or pre-bent</Description><Size>Length: 30-31mm, 31-33mm, 33-36mm, 36-43mm, 43-55mm, 55-80 mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB030</BillingCode><Name>REVERE H-LINK</Name><Description>Transverse Connector with integral Rods</Description><Size>5.5mm - 6.35mm Rod with 38mm - 71mm transverse connector and 40 - 45mm rod</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ382</BillingCode><PriorBillingCodes><PriorBillingCode>NK040</PriorBillingCode><PriorBillingCode>LM419</PriorBillingCode></PriorBillingCodes><Name>Certex Spinal Implant System Connector Adjustable</Name><Description>Connector Adjustable</Description><Size>3.5mm x 28-33mm to 42-58mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM419
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY020</BillingCode><PriorBillingCodes><PriorBillingCode>EV044</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw Head to Head Connector</Name><Description>BA Posterior Screw Head to Head Connector</Description><Size>25-66mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI266</BillingCode><Name>Infinity Spinal System</Name><Description>Crosslink Connector</Description><Size>Small, medium, large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF180</BillingCode><Name>Freedom Posterior Screw Head to Head Connector</Name><Description>Freedom Posterior Screw Head to Head Connector</Description><Size>25-66mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC590</BillingCode><Name>Vertex Reconstruction System</Name><Description>Crosslink/Bar</Description><Size>Extra small to  large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ767</BillingCode><Name>Expedium SFX Cross Connector System</Name><Description>Variable Length Cross Connector</Description><Size>26mm - 100 mm Length, 4.5, 5.5, 6.35mm rod diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF179</BillingCode><Name>Freedom Posterior Screw Rod to Rod Connector</Name><Description>Rod to Rod Connector</Description><Size>25-66mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>203838</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE668</BillingCode><Name>Mariner CrossBar</Name><Description>Adjustable Cross link</Description><Size>Small 33-41mm  Medium  39-52mm  Large 50-75mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU023</BillingCode><Name>Romeo 2 Posterior Thoraco-lumbar Fixation System - Multiaxial Cross Connector</Name><Description>Multiaxial cross connector, Multiaxial pre-bent cross connector</Description><Size>Length: 33 - 36mm, 36-43mm, 43-55mm, 55-80mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>198720</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ592</BillingCode><Name>SOCORE Polyaxial Crosslink</Name><Description>SOCORE Polyaxial Crosslink</Description><Size>Length 35mm - 100mm</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>455157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB086</BillingCode><Name>CREO Stabilization System Cross Connector</Name><Description>The CREO Stabilization System implants are non-cervical spinal fixation intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.</Description><Size>4.75 and 5.5, 30-91mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY569</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Snap-on Transconnector</Description><Size>21mm - 90mm Length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI475</BillingCode><PriorBillingCodes><PriorBillingCode>NK090</PriorBillingCode></PriorBillingCodes><Name>Adjustable Crosslinks</Name><Description>Adjustable Crosslinks</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY019</BillingCode><PriorBillingCodes><PriorBillingCode>EV043</PriorBillingCode></PriorBillingCodes><Name>BA Posterior Screw Rod to Rod Connector</Name><Description>Rod to Rod Connector</Description><Size>25-66mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>329318</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY069</BillingCode><PriorBillingCodes><PriorBillingCode>DR051</PriorBillingCode></PriorBillingCodes><Name>Ulrich Medical Pedicle Screw System - Crosslinks</Name><Description>Ulrich Medical Pedicle Screw System - Crosslinks</Description><Size>XXS-XL</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>365230</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU005</BillingCode><Name>Perla Posterior Cervico-Thoracic Fixation System - Cross Connector</Name><Description>Adjustable rod-to-rod cross connectors</Description><Size>RTR - Length: 21-23mm, 23-26mm, 26-32mm, 32-44mm, 44-45mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI463</BillingCode><Name>Alloclassic Hip Stem</Name><Description>Zweymuller, Ti alloy, Short Cone, Slender Neck</Description><Size>01, 0, 1, 10-13</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>206912</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI468</BillingCode><Name>CLS Cementless Hip</Name><Description>Titanium, grit blast, non HA</Description><Size>5 - 20</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>206682</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI462</BillingCode><Name>Alloclassic Hip Stem</Name><Description>Titanium, grit blast, non HA, standard and high offset</Description><Size>1 - 14</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>206912</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC011</BillingCode><Name>C2 Femoral Stem</Name><Description>C2 Femoral Stem Standard / Lateralised / Revision 12/14 Taper Ti6AI4V</Description><Size>02 to 12</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><ARTGs><ARTG>210716</ARTG><ARTG>210720</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL092</BillingCode><Name>REDAPT</Name><Description>Revision stem with standard and high offset options.</Description><Size>190mm x 12-27mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><ARTGs><ARTG>293662</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI376</BillingCode><Name>Cone Hip prosthesis</Name><Description>Titanium, grit blast, non HA</Description><Size>13 to 24mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3945</SubGroupID><ARTGs><ARTG>210381</ARTG></ARTGs><MinimumBenefit>2883</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ813</BillingCode><Name>Summit Femoral Hip</Name><Description>Titanium, beaded proximally, distal grit blast</Description><Size>0-12</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3946</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>208216</ARTG></ARTGs><MinimumBenefit>2340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ777</BillingCode><Name>Tri-Lock Gription Femoral Stem</Name><Description>Titanium, Femoral stem, GRIPTION coated</Description><Size>Size 0-12 standard and high offset</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3947</SubGroupID><ARTGs><ARTG>217546</ARTG></ARTGs><MinimumBenefit>2827</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU182</BillingCode><Name>Masterloc Stems - Ti</Name><Description>Cementless Femoral Stem - Ti Coated</Description><Size>1 to 12 - Std   1 to 14 - Lat  4 to 14 - Lat Plus</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><ARTGs><ARTG>286794</ARTG></ARTGs><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV040</BillingCode><Name>Profemur Hip System</Name><Description>Primary stem, tapered wedge, plasma coated, fixed neck</Description><Size>1-10
Extended, Neutral</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><ARTGs><ARTG>240573</ARTG></ARTGs><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI981</BillingCode><Name>Echo Hip System Bi Metric Femoral Stem</Name><Description>Echo Bi Metric Cementless Titanium Femoral Component</Description><Size>7 - 19mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><ARTGs><ARTG>223029</ARTG></ARTGs><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB393</BillingCode><Name>Excia T Hip Stem</Name><Description>Cementless CoCr Plasma Femoral Stem</Description><Size>8 - 20 mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><ARTGs><ARTG>321609</ARTG></ARTGs><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI074</BillingCode><Name>Biomet Taperloc Hip System</Name><Description>Titanium unpolished</Description><Size>4mm- 25mm diameter</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>237028</ARTG><ARTG>257354</ARTG><ARTG>223294</ARTG><ARTG>257356</ARTG><ARTG>237027</ARTG><ARTG>257352</ARTG></ARTGs><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO036</BillingCode><Name>LINK Vario bipolar Cup</Name><Description>Shell with unmodified polyethylene plus locking ring</Description><Size>Inner diameter: 28 - 32mm  Outer diameter: 44 - 65mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>212055</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU021</BillingCode><Name>Medacta Bipolar Head</Name><Description>Stainless Steel, with UHMWPE insert</Description><Size>Ball head diameter 22.2mm, sizes: from 39 to 52mm.
Ball head diameter 28mm, sizes: from 42 to 60mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>217252</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP188</BillingCode><Name>Self Centering Bipolar Head</Name><Description>Bipolar femoral head, CoCr with UHMWPE insert</Description><Size>39-65mm outer diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>235557</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST566</BillingCode><Name>Osteonics hip prostheses</Name><Description>Bipolar shell and polyethylene insert (factory Assembled)</Description><Size>ID 22, 26, 28, 32mm dia </Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>247373</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH622</BillingCode><PriorBillingCodes><PriorBillingCode>OO035</PriorBillingCode></PriorBillingCodes><Name>Bi-polar head</Name><Description>Bipolar head</Description><Size>38mm - 62mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>271212</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI286</BillingCode><Name>Multipolar Bipolar</Name><Description>Multipolar Bipolar Shell and Liner</Description><Size>Outer Diameter 38 - 72mm, Inner Diameter 22 or 28mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>273919</ARTG><ARTG>273918</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA025</BillingCode><Name>Mathys Bipolar Femoral Head</Name><Description>Stainless steel with fixed UHMWPE insert</Description><Size>28mm Inner diameter, 42-58mm outer diameter</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>212427</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN267</BillingCode><Name>Tandem/Convene</Name><Description>Shell/Liner</Description><Size>22 - 64mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>242993</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC197</BillingCode><Name>Delta Mobile Liner UHMWPE</Name><Description>The Mobile Liner UHMWPE functions as part of a double mobility system. It is coupled with an outer liner before being fitted onto the head of a femoral stem. The inner liner provides the articulating surface within the outer liner and the coupled liner provides the articulating surface with the acetabular shell after insertion into the acetabular shell/Cup as part of a total hip arthroplasty.</Description><Size>Diameter (mm) 40 - 42 Outer</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4005</SubGroupID><ARTGs><ARTG>294077</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC162</BillingCode><Name>Lock Bipolar Head and Liner</Name><Description>Self Centering Head CoCrMo and UHMWPE Liner</Description><Size>Diameter x 28mm x OD 41-57mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4005</SubGroupID><ARTGs><ARTG>216354</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC198</BillingCode><Name>2M Cups Double Mobility System Mobile Liners (UHMWPE)</Name><Description>The liner functions as part of a double mobility system. The liner articulates with an acetabular cup and femoral head as part of a total hip arthroplasty. The liner has an inner clearance of 0.3 mm with respect to the femoral head. The outer clearance has been increased to 0.6 mm to avoid locking of the outer joint due to the interposition of fibrous tissue. The centre of the inner head is cranialized with respect to the centre of the liner (1,5 mm), to permit the self-centring of the system.</Description><Size>Diameter (mm)
Outer 42 to 58
Diameter (mm)
Inner 22 to 28</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4005</SubGroupID><ARTGs><ARTG>294065</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ002</BillingCode><Name>Adept MoM Acetabular Component</Name><Description>Porocast beaded Shell , Co Cr, HA coated size 44-66mm</Description><Size>44-66mm Outer diameter going up in 2mm increments</Size><SupplierCode>MJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1431</GroupID><SubGroupID>4032</SubGroupID><ARTGs><ARTG>192534</ARTG><ARTG>192533</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN742</BillingCode><Name>Birmingham Hip Resurfacing Prostheses - Acetabular Cup</Name><Description>Cobal Chrome, beaded, HA</Description><Size>44 - 66 mm cups</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1431</GroupID><SubGroupID>4032</SubGroupID><ARTGs><ARTG>274334</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI860</BillingCode><Name>Oxford Meniscal Knee System Uni Tibial Baseplate </Name><Description>Uni Tibial Baseplate, uncemented Titanium plasma sprayed surface (Porous plasma spray PPS) with HA (Phase III)</Description><Size>(38-53) x (26-34)mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1368</GroupID><SubGroupID>3926</SubGroupID><ARTGs><ARTG>126863</ARTG></ARTGs><MinimumBenefit>1744</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI039</BillingCode><Name>Ponto 5 Mini &amp; SuperPower</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 &amp; Ponto 5 SuperPower have 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 - Ponto 5 Mini  31 x 21 x 15 mm - Ponto 5 SuperPower</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>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
Ponto 3 Power: 34x21x14mm
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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI024</BillingCode><Name>Ponto Implant</Name><Description>Bone anchor implant</Description><Size>Diameter: 3.75 - 4.5mm
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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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>2024-11-01</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
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>2024-11-01</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>2024-11-01</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>2024-11-01</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
with connection screw.</Description><Size>Diameter: 3.75 - 4.5mm
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, 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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US027</BillingCode><Name>Bone Conduction Implant Kit,  BCI 602 Kit</Name><Description>The BCI 602 Implant is an 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. Included with the BCI 602 implant in the BCI602 Kit are 2 Self-Drilling Cortical Screws, an emergency screw and Surgical Screwdriver SD 2, as well as the BCI 602 Sizer Kit.</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>389050</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK013</BillingCode><Name>HANAROSTENT</Name><Description>HANAROSTENT® Biliary Hilar (NNN)  HANAROSTENT® FAST™ Biliary (NNN)  HANAROSTENT® Biliary (NNN)  HANAROSTENT® Benefit™ Biliary (NNN)</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><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>WA</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>2024-11-01</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>WA</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>2024-11-01</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
Lengths: 40 -100mm</Size><SupplierCode>WA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK013</BillingCode><Name>Biliary Nitinol Stents</Name><Description>Biliary Nitinol Stents, self expandable</Description><Size>6mm - 10mm wide  40mm - 120mm long</Size><SupplierCode>AK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>365092</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>336629</ARTG><ARTG>272683</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
Lengths: 40 - 80mm</Size><SupplierCode>WA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>177661</ARTG><ARTG>136261</ARTG><ARTG>226864</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ544</BillingCode><Name>Seprafilm Adhesion Barrier - Single site and Mini site</Name><Description>Sodium hyaluronate carbomethylcellulose membrane
</Description><Size>13cm X7.5cm 6.5cm X7.5cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5431</SubGroupID><ARTGs><ARTG>387710</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ543</BillingCode><Name>Seprafilm 4-Section</Name><Description>Seprafilm Adhesion Barrier is a sodium hyaluronate carbomethylcellulose membrane . Seprafilm4-section  contains a sheet pre-cut into  4 sheets with sizes 6.5cm x 7.5cm each  to be used per patient</Description><Size>4 X (6.5cm x 7.5cm) sheets in a pouch</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5432</SubGroupID><ARTGs><ARTG>387710</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>MI</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>2024-11-01</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>2024-11-01</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>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ752</BillingCode><Name>HyaRegen Gel</Name><Description>HyaRegen Gel is a highly viscous gel adhesion barrier comprised of cross-linked molecules of hyaluronan (HA). The coss-linking process makes HA more viscous and persist longer in vivo. HyaRegen Gel is supplied in a pre-filled sterile syringe. HyaRegen Gel is indicated for the prevention or reduction of post-surgical adhesion formation in abdominal and/or intrauterine surgery.</Description><Size>Pre-filled sterile syringe in volumes: 3mL, 5mL, 10mL, and 20mL</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>389550</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT292</BillingCode><PriorBillingCodes><PriorBillingCode>GT271</PriorBillingCode><PriorBillingCode>GT275</PriorBillingCode></PriorBillingCodes><Name>GORE-TEX ® Cardiovascular Patch</Name><Description>E-PTFE</Description><Size>Cardiovascular Patch &lt; 75cm²</Size><SupplierCode>GT</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1508</GroupID><SubGroupID>4141</SubGroupID><ARTGs><ARTG>153256</ARTG><ARTG>153255</ARTG></ARTGs><MinimumBenefit>228</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT293</BillingCode><PriorBillingCodes><PriorBillingCode>GT120</PriorBillingCode><PriorBillingCode>GT121</PriorBillingCode></PriorBillingCodes><Name>GORE-TEX ® Cardiovascular Patch</Name><Description>E-PTFE</Description><Size>Cardiovascular Patch ≥ 75cm²</Size><SupplierCode>GT</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1508</GroupID><SubGroupID>4142</SubGroupID><ARTGs><ARTG>153255</ARTG><ARTG>153256</ARTG></ARTGs><MinimumBenefit>495</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB140</BillingCode><Name>Aesculap Cervical System</Name><Description>Titanium Alloy</Description><Size>All Sizes &gt;55mm</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB120</BillingCode><Name>Assure-X Anterior Cervical Plate System - Plates &gt; 55mm</Name><Description>Titanium Alloy Anterior Cervical Plate</Description><Size>1.8mm profile, 16mm width, 57-100 mm in length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB195</BillingCode><Name>PROVIDENCE Anterior Cervical Plates &gt; 55mm</Name><Description>Low profile anterior cervical plates</Description><Size>57mm to 104mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ801</BillingCode><Name>Skyline Cervical Plate System</Name><Description>Skyline anterior cervical plate. Various size plates. Titanium</Description><Size>56-105mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>194058</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT007</BillingCode><Name>AXIS2 Anterior Cervical Plate</Name><Description>Anterior cervical plate</Description><Size>19.5mm - 53mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>320878</ARTG><ARTG>320879</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM530</BillingCode><Name>Cervical Plate 55mm or less</Name><Description>Cervical Plate 55mm or less</Description><Size>55 mm and smaller</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>375676</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ059</BillingCode><Name>Aquila Spinal System</Name><Description>Anterior Cervical Plate</Description><Size>12mm-55mm length</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>398970</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM534</BillingCode><Name>Oryx Cervical Plate System </Name><Description>Titanium Cervical Plate </Description><Size>8-54mm </Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>375676</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB194</BillingCode><Name>PROVIDENCE Anterior Cervical Plates</Name><Description>Low profile anterior cervical plates</Description><Size>10mm to 54mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ800</BillingCode><Name>Skyline Cervical Plate System</Name><Description>Skyline anterior cervical plate. Various size plates, Titanium</Description><Size>12-55mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>194058</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY086</BillingCode><PriorBillingCodes><PriorBillingCode>DR029</PriorBillingCode></PriorBillingCodes><Name>Choice Spine Cervical Plate</Name><Description>Anterior Cervical Fusion Plate</Description><Size>Plate Lenths 10mm to 54mm (One, Two &amp; Three Level Plates)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>330080</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB119</BillingCode><Name>Assure-X Anterior Cervical Plate System - Plates</Name><Description>Titanium Alloy Anterior Cervical Plate</Description><Size>1.8 mm profile, 16mm width, 10-54mm in length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF009</BillingCode><Name>WinLoc Cervical Plate System - plate</Name><Description>Titanium anterior cervical plate</Description><Size>1-Level: 25mm, 27mm, 30mm, 33mm, 36mm
2-Level: 39mm, 42mm, 45mm, 48mm, 51mm, 54mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>218438</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV164</BillingCode><Name>ACP Plate</Name><Description>Anterior Cervical Plates 1, 2, and 3 levels</Description><Size>16mm to 54mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>209196</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV040</BillingCode><Name>Helix Mini Plate</Name><Description>Anterior cervical plate</Description><Size>20mm-50mm (2mm increments)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ120</BillingCode><PriorBillingCodes><PriorBillingCode>DZ086</PriorBillingCode></PriorBillingCodes><Name>CanAce Anterior Cervical Plating System</Name><Description>Spinal Fixation System</Description><Size>≤55mm</Size><SupplierCode>WS</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>346439</ARTG><ARTG>346450</ARTG><ARTG>346438</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH615</BillingCode><Name>HumanTech - Hero Cervical Plate System - Plates</Name><Description>Cervical Plate</Description><Size>L: 21 - 53mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>316053</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE659</BillingCode><Name>Shoreline ACS TruProfile Cervical Plate</Name><Description>Anterior cervical plating system</Description><Size>Holes: 2, 3 and 4 
Length: 5-12mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC033</BillingCode><Name>uNion and Artus Cervical Plates</Name><Description>Midline and Standard Plates</Description><Size>12mm - 54mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>377912</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE791</BillingCode><Name>Admiral Cervical Plate</Name><Description>Admiral Cervical Plate &lt;55mm</Description><Size>7mm-54mm Length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>275780</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU130</BillingCode><Name>Mecta C Plates</Name><Description>Cervical Plates</Description><Size>L 1 to 3; 20 to 55 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>222455</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH084</BillingCode><Name>Katia Anterior Cervical Plate </Name><Description>Anterior Cervical Plate - Single or Multi level </Description><Size>20 mm - 53.5 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH088</BillingCode><Name>Ceplate Anterior Cervical Plate </Name><Description>Anterior Cervical Plate - Single or Multi level plate </Description><Size>22.5 mm - 55 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>366091</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI037</BillingCode><Name>Shark CP Locking Plate</Name><Description>Plate, titanium alloy. </Description><Size>greater than 55mm length </Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>345367</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV165</BillingCode><Name>ACP Plate &gt; 55mm</Name><Description>Anterior cervical plate 3, 4 and 5 levels</Description><Size>56mm to 110mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>209196</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF010</BillingCode><Name>WinLoc Cervical Plate System - plate</Name><Description>Titanium anterior cervical plate</Description><Size>3-Level: 58mm, 62mm, 66mm, 70mm, 74mm, 78mm, 82mm
4-Level: 86mm, 90mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>218438</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY085</BillingCode><PriorBillingCodes><PriorBillingCode>DR028</PriorBillingCode></PriorBillingCodes><Name>Choice Spine Cervical Plate 55+</Name><Description>Anterior Cervical Fusion Plate</Description><Size>Plate Lengths 57mm to 105mm (Three, Four and Five Level Plates)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>330080</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC034</BillingCode><Name>uNion and Artus Cervical Plates &gt;55mm</Name><Description>Standard Plates</Description><Size>57-84mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>377912</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE792</BillingCode><Name>Admiral Cervical Plate</Name><Description>Admiral Cervical Plate &gt;55mm</Description><Size>57mm-100mm Lengths</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>275780</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU129</BillingCode><Name>Mecta C Plates</Name><Description>Cervical Plates</Description><Size>L 3 to 4; 58 to 92 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>222455</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH086</BillingCode><Name>Ceplate Anterior Cervical Plate</Name><Description>Anterior Cervical Plate &gt;55mm</Description><Size>57.5 mm - 110 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>366091</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH616</BillingCode><Name>HumanTech - Hero Cervical Plate System, Plate Lge</Name><Description>Cervical Plate Large</Description><Size>L: 57 - 97mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>316053</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH082</BillingCode><Name>Katia Anterior Cervical Plate - Long </Name><Description>Anterior Cervical Plate &gt; 55 mm</Description><Size>56 mm - 110 mm </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>312520</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ119</BillingCode><PriorBillingCodes><PriorBillingCode>DZ084</PriorBillingCode></PriorBillingCodes><Name>CanAce Anterior Cervical Plating System</Name><Description>Spinal Fixation System</Description><Size>&gt;55mm</Size><SupplierCode>WS</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>346438</ARTG><ARTG>346450</ARTG><ARTG>346439</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER458</BillingCode><Name>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Plate, &gt;55mm</Name><Description>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Plate, &gt;55mm, 3-4 levels</Description><Size>width 17mm x length (57-97 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>286127</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM529</BillingCode><Name>Cervical Plate &gt;55mm</Name><Description>Cervical Plate &gt;55mm</Description><Size>&gt;55mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>375676</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ060</BillingCode><Name>Aquila Spinal System</Name><Description>Anterior Cervical Plate</Description><Size>56mm-97mm Length</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>398970</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER167</BillingCode><Name>Signus Anterior Cervical Plate - L3-L4</Name><Description>Pre-contoured titanium plate, secured onto the spinal vertebrae by either fixed or variable angle colour coded screws.</Description><Size>56mm - 100mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>122274</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT008</BillingCode><Name>AXIS2 Anterior Cervical Plate</Name><Description>Anterior cervical plate</Description><Size>57mm - 83mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>320879</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY029</BillingCode><Name>Slim HP Plates</Name><Description>Plates</Description><Size>55 -105mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM533</BillingCode><Name>Oryx Cervical Plate System </Name><Description>Titanium Cervical Plate System </Description><Size>57-85mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>375676</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER457</BillingCode><Name>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Plate</Name><Description>LnK Anterior Cervical Plate System/CastleLoc-P Anterior Cervical Plate System-Plate, 1-3 levels</Description><Size>width 17mm x length (13-54mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>286127</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI036</BillingCode><Name>Shark CP Locking Plate </Name><Description>Plate, titanium alloy</Description><Size>55mm length  or less </Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>345367</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ137</BillingCode><Name>Evolution Spine EMERGE Plate System- Plates-&gt;55mm</Name><Description>Evolution Spine EMERGE Plate System- Plates-&gt;55mm, Level 2-5</Description><Size>56-110 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>445230</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ438</BillingCode><PriorBillingCodes><PriorBillingCode>JQ019</PriorBillingCode></PriorBillingCodes><Name>Insignia Anterior Cervical Plating System </Name><Description>Plate, 1-3 level, Ti Alloy</Description><Size>16 - 54mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>398575</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ019
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB374</BillingCode><Name>Aesculap Cervical Systen</Name><Description>Titanium Alloy</Description><Size>All Sizes &lt; 55 mm</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>134538</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ558</BillingCode><Name>Artus/uNion</Name><Description>Anterior Cervical Fusion Plate</Description><Size>12-84mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>464109</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB016</BillingCode><Name>Anterior Cervical Plate System</Name><Description>Anterior cervical plate. Various size plates, Titanium</Description><Size>&gt;55mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>214788</ARTG></ARTGs><ChangeExplanation>Change to Product Group, Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB015</BillingCode><Name>Anterior Cervical Plate System</Name><Description>Anterior cervical plate. Various size plates, Titanium</Description><Size>20-55mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><ChangeExplanation>Change to Product Group, Change to Group benefit</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ730</BillingCode><Name>DIVA Plating System</Name><Description>Anterior Cervical Plate Titanium</Description><Size>Small, standard and large, 2 holes</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>461026</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ439</BillingCode><PriorBillingCodes><PriorBillingCode>JQ020</PriorBillingCode></PriorBillingCodes><Name>Insignia Anterior Cervical Plating System </Name><Description>Plate, 3 - 5 level, Ti Alloy</Description><Size>&gt; 55mm length</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>398575</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ020
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ680</BillingCode><Name>Skyway Plate</Name><Description>Skyway ACDF Plate</Description><Size>12-16mm, (2,3&amp;4 Hole configurations)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>462407</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW045</BillingCode><PriorBillingCodes><PriorBillingCode>ZI951</PriorBillingCode></PriorBillingCodes><Name>Timberline Lateral Fusion System</Name><Description>Lateral Plate</Description><Size>6-16mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>287242</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE798</BillingCode><Name>Meridian ALIF Plate</Name><Description>Titanium ALIF Plate </Description><Size>2 &amp; 4 Hole, Size 10mm-20mm </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU043</BillingCode><Name>Juliet Ti LL plate</Name><Description>Titanium lateral plate</Description><Size>2 holes or 4 holes  Width: 13mm, 17mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>338461</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM526</BillingCode><Name>Buttress Plates </Name><Description>Buttress Plates used to stabilise the allograft or autograft at on level (L1-S1). </Description><Size>Plates 20, 24, 28 mm  Screws 5.5 &amp; 6.5 mm diameter, 20 - 30mm long</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>375812</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ057</BillingCode><Name>Aurora Spinal System</Name><Description>Thoracolumbar Plate</Description><Size>17-27mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>335884</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV095</BillingCode><Name>Brigade Anterior Plate</Name><Description>Anterior plate</Description><Size>26-42mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV033</BillingCode><Name>Traverse Plate</Name><Description>Plate</Description><Size>Fixed Plate - Size 15/20/25/30/35/40/45/50/55/60/65/70/80/90mm
Compression Plate - Size 45/50/55/60/65/70/75/80/85/95/105mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>132467</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ694</BillingCode><Name>Regatta Lateral Plate and locking cover</Name><Description>The SeaSpine Regatta Lateral Plate is indicated as additional support during fusion via a lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (T1-S1) spine instability, as the result of fracture, tumour, DDD, scoliosis, kyphosis, lordosis, stenosis or failed previous surgery. The Regatta Plate must be used with a locking cover. </Description><Size>1 hole plate size 8mm - 18mm in 2mm increments. 2 Hole Plate size 8mm - 18mm in 2mm increments, 4 Hole Plate size 8mm - 18mm in 2mm increments, Plate locking cover 8mm-18mm and 1 hole locking plate 8mm-18mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4128</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ396</BillingCode><Name>HeartMate 3 System Controller</Name><Description>System Controller</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1830</GroupID><SubGroupID>6028</SubGroupID><ARTGs><ARTG>443220</ARTG><ARTG>289763</ARTG></ARTGs><ChangeExplanation>Change to Suffix, ARTG</ChangeExplanation><MinimumBenefit>4275</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ384</BillingCode><Name>HeartMate II Left Ventricular Assist System - System Controller</Name><Description>System controller</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1830</GroupID><SubGroupID>6028</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>172007</ARTG></ARTGs><MinimumBenefit>4275</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ400</BillingCode><Name>HeartMate Left Ventricular System - Battery Charger</Name><Description>Battery Charger for HeartMate Batteries</Description><Size>one size</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1830</GroupID><SubGroupID>6030</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>167132</ARTG></ARTGs><MinimumBenefit>2295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ385</BillingCode><Name>HeartMate Left Ventricular Assist System - Battery Set</Name><Description>Rechargeable HeartMate specific batteries</Description><Size>One size only, set of 4</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1830</GroupID><SubGroupID>6030</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>167134</ARTG></ARTGs><MinimumBenefit>2295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ375</BillingCode><Name>HeartMate Left Ventricular Assist System - Battery Clip Set</Name><Description>Battery clip set</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1830</GroupID><SubGroupID>6032</SubGroupID><ARTGs><ARTG>167134</ARTG></ARTGs><MinimumBenefit>1520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW779</BillingCode><PriorBillingCodes><PriorBillingCode>ER493</PriorBillingCode></PriorBillingCodes><Name>Ozark Plate Level 1-5, ≤55 mm</Name><Description>Plate level 1 -5, ≤55 mm</Description><Size>16-55 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER590</BillingCode><PriorBillingCodes><PriorBillingCode>OF077</PriorBillingCode></PriorBillingCodes><Name>Cetra Anterior Cervical Plate</Name><Description>Low profile anterior cervical plate</Description><Size>16mm-54mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER207</BillingCode><Name>SIGNUS  Cervical Plating Implant System-Plate</Name><Description>SIGNUS Cervical Plating Implant System-Plate</Description><Size>20-54 mm, in 2-3 mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW763</BillingCode><PriorBillingCodes><PriorBillingCode>ER241</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Cervical Plate System-Monoplate, Short</Name><Description>Pyrenees MonoPlate, Short</Description><Size>18-55mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB114</BillingCode><Name>Unify Dynamic Anterior Cervical Plate System – Plate</Name><Description>Titanium Alloy Dynamic Anterior Cervical Plate</Description><Size>Depth - 2.8mm
Width – 16.6mm
Length – 10- 55 mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE680</BillingCode><Name>icotec Anterior Cervical Plate</Name><Description>Cervical Plate</Description><Size>18mm width, 21mm - 55mm length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA017</BillingCode><PriorBillingCodes><PriorBillingCode>OH540</PriorBillingCode></PriorBillingCodes><Name>Spinal Plate - Cervical</Name><Description>Anterior Cervical Plate</Description><Size>20mm - 53mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>289731</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW031</BillingCode><PriorBillingCodes><PriorBillingCode>ZA014</PriorBillingCode></PriorBillingCodes><Name>MaxAn Anterior Cervical Plating System</Name><Description>Titanium plate for anterior cervical spine</Description><Size>≤55mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>287243</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV108</BillingCode><Name>Archon (Plate 18-55mm)</Name><Description>Anterior Cervical Plate</Description><Size>18-55mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>209196</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB003</BillingCode><Name>Delta Plate</Name><Description>Anterior cervical plate</Description><Size>Length: 16-22mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV068</BillingCode><Name>Helix-Revolution (Plate 20-54mm)</Name><Description>Anterior Cervical Plate</Description><Size>20-54mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>133466</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW736</BillingCode><PriorBillingCodes><PriorBillingCode>ER030</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Cervical Plate System</Name><Description>Cervical Plate</Description><Size>18mm to 54mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ418</BillingCode><PriorBillingCodes><PriorBillingCode>NK014</PriorBillingCode><PriorBillingCode>LM408</PriorBillingCode></PriorBillingCodes><Name>Spider Cervical Plating System - Spider Plate</Name><Description>Titanium, anterior cervical plate system</Description><Size>56-77mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>159605</ARTG><ARTG>160750</ARTG><ARTG>170220</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM408
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ030</BillingCode><Name>Aquila Plate System</Name><Description>Anterior Cervical Plate</Description><Size>1 level and 2 level plates (21 - 55mm Length)</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW408</BillingCode><Name>Aviator Anterior Cervical Plating System - Plate</Name><Description>Anterior Cervical Plate - Integral Locking</Description><Size>One, two and three level up to 55mm in length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR085</BillingCode><Name>Reflex Anterior Cervical Plate System</Name><Description>Plate</Description><Size>≤55mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY019</BillingCode><Name>Slimplicity HP Plates</Name><Description>Plates</Description><Size>10mm - 105mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC418</BillingCode><Name>Atlantis Anterior Cervical Plate</Name><Description>Plate</Description><Size>19.0mm -  47.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV069</BillingCode><Name>Helix-Revolution (plate 56-110mm)</Name><Description>Anterior Cervical Plate</Description><Size>56-110mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>133466</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY520</BillingCode><Name>Vectra Anterior Spinal System</Name><Description>Cervical Plate</Description><Size>≤55</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>155808</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE679</BillingCode><Name>icotec Anterior Cervical Plate</Name><Description>Cervical Plate</Description><Size>18mm Width, 58mm - 94mm Length</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>283853</ARTG></ARTGs><Note>Only to be reimbursed when used in patients with spinal tumours requiring regular magnetic resonance imaging (MRI) and/or computerised tomography (CT) imaging and or adjuvant radiotherapy and/or proton therapy.</Note><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW030</BillingCode><PriorBillingCodes><PriorBillingCode>ZA015</PriorBillingCode></PriorBillingCodes><Name>MaxAn Anterior Cervical Plating System</Name><Description>Titanium plate for anterior cervical spine</Description><Size>&gt;55mm</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>287243</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC859</BillingCode><Name>Venture Anterior Cervical Plate</Name><Description>Single or multi level plate, titanium alloy and Nitinol</Description><Size>57.5mm - 150mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB115</BillingCode><Name>Unify Dynamic Anterior Cervical Plate System – Plate</Name><Description>Titanium Alloy Dynamic Anterior Cervical Plate</Description><Size>Depth - 2.8mm
Width – 16.6mm
Length – 58 -70 mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB039</BillingCode><Name>XTEND Anterior Cervical Plate &gt;55mm</Name><Description>Anterior Cervical Plate &gt;55mm</Description><Size>57mm - 104mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU014</BillingCode><Name>Tryptik 2 Anterior Cervical Plate</Name><Description>Anterior cervical plate</Description><Size>Length: 55mm, 58mm, 61mm, 64mm, 68mm, 72mm, 76mm, 80mm, 84mm, 88mm, 92mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>166151</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA018</BillingCode><PriorBillingCodes><PriorBillingCode>OH541</PriorBillingCode></PriorBillingCodes><Name>Spinal Plate - Cervical 55mm+</Name><Description>Anterior Cervical Plate 55mm+</Description><Size>56 - 92mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>289731</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB038</BillingCode><Name>XTEND Anterior Cervical Plate</Name><Description>Anterior Cervical Plate</Description><Size>10mm - 54mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW737</BillingCode><PriorBillingCodes><PriorBillingCode>ER031</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Cervical Plate System</Name><Description>Cervical Plate</Description><Size>57mm to 110mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW407</BillingCode><Name>Aviator Anterior Cervical Plating System - Plate longer than 55mm</Name><Description>Anterior Cervical Plate - Integral Locking</Description><Size>Three and four level greater than 55mm in length</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ031</BillingCode><Name>Aquila Plate System</Name><Description>Anterior Cervical Plate</Description><Size>2, 3 and 4 level cervical plates (55m - 109mm length)</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER525</BillingCode><Name>CastleLoc-P Anterior Cervical Plate, &gt;55mm</Name><Description>CastleLoc-P Anterior Cervical Plate, &gt;55mm, 3-4 levels</Description><Size>length 55-97 mm, width 17 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>286127</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW780</BillingCode><PriorBillingCodes><PriorBillingCode>ER494</PriorBillingCode></PriorBillingCodes><Name>Ozark Plate Level 1-5 , &gt;55mm</Name><Description>Plate Level 1-5 , &gt;55mm</Description><Size>56-110 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER587</BillingCode><PriorBillingCodes><PriorBillingCode>OF078</PriorBillingCode></PriorBillingCodes><Name>Cetra Anterior Cervical Plate &gt; 55mm</Name><Description>Low profile anterior cervical plate</Description><Size>56mm-94mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>195018</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER208</BillingCode><Name>SIGNUS  Cervical Plating Implant System-Plate (&gt;55 mm)</Name><Description>SIGNUS  Cervical Plating Implant System-Plate (&gt;55 mm)</Description><Size>56-100 mm, in 3-5 mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY023</BillingCode><PriorBillingCodes><PriorBillingCode>EV021</PriorBillingCode></PriorBillingCodes><Name>Revolution ACDF Plate</Name><Description>Anterior Cervical Plate</Description><Size>Double and Mini Plates, 18 - 50mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>273279</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB110</BillingCode><Name>ASSURE® Anterior Cervical Plate System – Plate</Name><Description>Titanium Alloy Anterior Cervical Plate</Description><Size>1.8 mm depth, 16mm width, 14- 54mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER524</BillingCode><Name>CastleLoc-P Anterior Cervical Plate</Name><Description>CastleLoc-P Anterior Cervical Plate, Plate level 1-3, ≤55 mm</Description><Size>length 19-54 mm; width 17 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>286127</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV109</BillingCode><Name>Archon (Plate 56-110mm)</Name><Description>Anterior Cervical Plate</Description><Size>56-110mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>209196</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW767</BillingCode><PriorBillingCodes><PriorBillingCode>ER289</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Segmental Plate</Name><Description>Single level fusion plate with shelf.</Description><Size>5-10mm shelf</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ136</BillingCode><Name>Evolution Spine EMERGE Plate System- Plates</Name><Description>Evolution Spine EMERGE Plate System- Plates, Level 1-4</Description><Size>18-55 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>445230</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB015</BillingCode><Name>VIP Anterior Cervical Plate</Name><Description>Anterior Cervical Plate</Description><Size>13mm - 46mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>190972</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI152</BillingCode><Name>ZEVO Anterior Cervical Plate System</Name><Description>Anterior Cervical Plate</Description><Size>15mm - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ417</BillingCode><PriorBillingCodes><PriorBillingCode>NK013</PriorBillingCode><PriorBillingCode>LM407</PriorBillingCode></PriorBillingCodes><Name>Spider Cervical Plating System - Spider Plate</Name><Description>Titanium, Anterior Cervical Plate System -</Description><Size>22-54mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>159605</ARTG><ARTG>160750</ARTG><ARTG>170220</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM407
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC419</BillingCode><Name>Atlantis Anterior Cervical Plate</Name><Description>Anterior Cervical Plate</Description><Size>50mm - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB040</BillingCode><Name>XTEND Anterior Cervical Extender Plate</Name><Description>Anterior Cervical Extender Plate</Description><Size>10mm - 46mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI157</BillingCode><Name>Divergence Anterior Cervical Fusion Mini-plate System</Name><Description>Divergence anterior cervical fusion mini-plate</Description><Size>15.5mm - 22.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC706</BillingCode><Name>Venture Anterior Cervical Plate</Name><Description>Single or multi level plate, titanium alloy and Nitinol</Description><Size>52.5mm - 55mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU013</BillingCode><Name>Tryptik 2 Anterior Cervical Plate</Name><Description>Anterior cervical plate</Description><Size>Length: 20mm, 22mm, 24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm, 40mm, 43mm, 46mm, 49mm, 52mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>166151</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY022</BillingCode><PriorBillingCodes><PriorBillingCode>EV009</PriorBillingCode></PriorBillingCodes><Name>Evolution ACDF Plate</Name><Description>Anterior Cervical Plate</Description><Size>1 level Plate (20mm-32mm), 2 level plate (34mm – 50mm)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>247573</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI162</BillingCode><Name>ZEVO Anterior Cervical Plate System</Name><Description>Anterior Cervical Plate</Description><Size>57 - 108mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB111</BillingCode><Name>ASSURE® Anterior Plate System – Plate</Name><Description>Titanium Alloy Anterior Cervical Plate</Description><Size>1.8 mm depth, 16mm width, 57-100mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>190070</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY524</BillingCode><Name>Uniplate Spinal System</Name><Description>Titanium Anterior Cervical Plate</Description><Size>13-55mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>148371</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF158</BillingCode><Name>Alias ACDF Plate</Name><Description>Anterior Cervical Plate</Description><Size>1 Level 12-30mm, 2 Level 30-44mm, 3 Level 42-66mm, 4 Level 64-76mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC346</BillingCode><Name>Venture Anterior Cervical Plate</Name><Description>Single or multi level plate, titanium alloy and Nitinol</Description><Size>20mm - 50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC858</BillingCode><Name>Atlantis Anterior Cervical Plate</Name><Description>Anterior Cervical Plate</Description><Size>57.5mm - 110mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW762</BillingCode><PriorBillingCodes><PriorBillingCode>ER240</PriorBillingCode></PriorBillingCodes><Name>Pyrenees Cervical Plate System-MonoPlate, Long</Name><Description>Pyrenees Cervical Plate System-MonoPlate, Long</Description><Size>Length 56-78 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR084</BillingCode><Name>Reflex Anterior Cervical Plate System</Name><Description>Plate</Description><Size>&gt;55mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>278368</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW746</BillingCode><PriorBillingCodes><PriorBillingCode>ER052</PriorBillingCode></PriorBillingCodes><Name>Blue Ridge Hybrid Cervical Plate System - Plate</Name><Description>Low profile, anterior cervical plate. Locking,  titanium.</Description><Size>56-92mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4125</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW572</BillingCode><Name>LITe Plate System - Plate</Name><Description>Anterior and Lateral Lumbar Locking Plates</Description><Size>Buttress1Size, Universal and Sacral Length 21mm-37mm, Lateral Length 16mm- 28mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>277947</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT019</BillingCode><Name>Unity+ Plates</Name><Description>Thoracolumbar plate</Description><Size>Depth: 22mm;  Length: 8mm, 9mm, 11mm, 13mm, 15mm, 24mm, 27,5mm, 30.5mm.</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>320879</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW776</BillingCode><PriorBillingCodes><PriorBillingCode>ER489</PriorBillingCode></PriorBillingCodes><Name>Cayman United Plate</Name><Description>Thoracolumbar Plate</Description><Size>16-24</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>293886</ARTG></ARTGs><Note>“To be reimbursed only when used with posterior supplemental fixation with other implants.”</Note><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC819</BillingCode><Name>Pyramid +4</Name><Description>Anterior Plate</Description><Size>Height: 33mm - 45mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB095</BillingCode><Name>PLYMOUTH Thoracolumbar Plate System Plate</Name><Description>Thoracolumbar Plate</Description><Size>15 - 24mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF149</BillingCode><Name>XM Plate</Name><Description>Lumbar Fusion Plate</Description><Size>17-27mm, in 2mm increments.</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV157</BillingCode><Name>Halo Buttress Plate</Name><Description>Titanium Buttress Plate</Description><Size>21mm-25mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>209200</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI187</BillingCode><Name>PIVOX Oblique Lateral Spinal System</Name><Description>Plate</Description><Size>Small, Large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ518</BillingCode><Name>AEGIS ALP</Name><Description>Curved anterior lumbar plate</Description><Size>4-25mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>148371</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB008</BillingCode><Name>TRUSS® Thoracolumbar Plate with slider</Name><Description>Thoracolumbar plate</Description><Size>45mm-99.5mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC612</BillingCode><Name>Vantage</Name><Description>Vantage Plates and Screws; ATL Plate</Description><Size>4 - 10cm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB009</BillingCode><Name>TRUSS® Thoracolumbar Plate</Name><Description>Thoracolumbar plate</Description><Size>22mm - 55mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB012</BillingCode><Name>CITADEL® Anterior Lumbar Plate</Name><Description>Anterior Lumbar plate</Description><Size>20mm - 99mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>190969</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB106</BillingCode><Name>InterContinental Plate</Name><Description>Lateral Plate</Description><Size>20mm x 8mm - 21mm.</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>190063</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI171</BillingCode><Name>Divergence-L Anterior/Oblique Lumbar Fusion System </Name><Description>Lumbar Plates </Description><Size>10-20mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC610</BillingCode><Name>Vantage</Name><Description>Vantage plates and Screws; Thoracic Plate</Description><Size>3.5 - 8cm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF020</BillingCode><Name>Aurora SPINE System</Name><Description>Thoracolumbar plate</Description><Size>15mm-51mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC010</BillingCode><PriorBillingCodes><PriorBillingCode>SF149</PriorBillingCode></PriorBillingCodes><Name>XM Plate</Name><Description>Lumbar Fusion Plate</Description><Size>17-27mm, in 2mm increments.</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ032</BillingCode><Name>Aurora SPINE System</Name><Description>Thoracolumbar plate</Description><Size>15mm-51mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>217032</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW733</BillingCode><PriorBillingCodes><PriorBillingCode>ER024</PriorBillingCode></PriorBillingCodes><Name>Cayman Thoracolumbar Plate System / Plate</Name><Description>Thoracolumbar Plate, Titanium</Description><Size>21mm to 109mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>290395</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER186</BillingCode><Name>SIGNUS Contact Thoracolumbar Plating System-Frame Plate</Name><Description>Signus Contact Thoracolumbar Plating System-Frame Plate</Description><Size>40-70 mm, in 5 mm increments (straight); 70-120 mm in 5 mm increments (10 deg angled)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>216749</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV155</BillingCode><Name>XLIF Modular Plate</Name><Description>Lateral plate</Description><Size>Small (8mm), Medium (10mm), Large (12mm)</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>209200</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV105</BillingCode><Name>Decade Lateral Plate System (plate)</Name><Description>The NuVasive Decade Plate System is indicated for use in the treatment of lumbar and lumbarsacral (L1-S1) spine instability.</Description><Size>2-4 Hole Static, 2-4 Hole Translating, Lengths 6-20</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1476</GroupID><SubGroupID>4126</SubGroupID><ARTGs><ARTG>209200</ARTG></ARTGs><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC537</BillingCode><Name>Danek Unit Rod System</Name><Description>Scoliosis Rods</Description><Size>5.5mm to 6.35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4132</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY384</BillingCode><Name>Speciality Rods</Name><Description>Unit Rod, Titanium / Stainless Steel</Description><Size>5mm, 6mm diameter
250mm - 500mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4132</SubGroupID><ARTGs><ARTG>133401</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY026</BillingCode><Name>Katana Rods</Name><Description>Deformity, Straight and MIS Rods - Ti or CoCr</Description><Size>Small - Extra Large (200-500mm)</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4132</SubGroupID><ARTGs><ARTG>396083</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB078</BillingCode><Name>REVERE Rods, Dual Unit</Name><Description>Scoliosis Rods</Description><Size>5.5mm - 6.35mm 450mm - 500mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4132</SubGroupID><ARTGs><ARTG>190039</ARTG></ARTGs><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ447</BillingCode><PriorBillingCodes><PriorBillingCode>JQ034</PriorBillingCode></PriorBillingCodes><Name>Invictus Hinged Rod</Name><Description>Hinged Rod. Ti Alloy</Description><Size>Cranial: (3.5, 4.0) mm diameter x 90mm length   Caudal, (3.5, 4.0)mm diameter  x 210mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ034
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI271</BillingCode><Name>Infinity Spinal System</Name><Description>Occipital Hinged Rod</Description><Size>Length 100 - 200mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ416</BillingCode><PriorBillingCodes><PriorBillingCode>NK104</PriorBillingCode><PriorBillingCode>LM428</PriorBillingCode></PriorBillingCodes><Name>Pre-Bent rods</Name><Description>Pre-Bent rods</Description><Size>3.5mm diameter rods</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM428
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB163</BillingCode><Name>QUARTEX Occipital Jointed Rod</Name><Description>Occipital Jointed Rods</Description><Size>Left and Right, 4mm -Left and Right</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV101</BillingCode><Name>Vuepoint (Hinged Rod)</Name><Description>The VuePoint OCT System is intended to promote fusion of the cervical spine and occipito-thoracic junction (Occiput-T3), and is indicated for; 1: Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confimred by patient history and radiographic studies), 2: Degenerative spondylolisthesis with objective evidence of neurologic impairment, 3: Fractur/Dislocation, 4: Spinal Stenosis, 5: Atlantaxial fracture with instability, 6; Occipitocervical dislocation, 7: Spinal tumor and/or 8: revision of previous cervical spine surgery</Description><Size>one size only</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER318</BillingCode><Name>Ulrich posterior OCT System (neon3)-Rods, occipital</Name><Description>Ulrich posterior OCT System (neon3)-Rods, occipital, various shapes</Description><Size>dia 4 mm x length (240-300 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW036</BillingCode><PriorBillingCodes><PriorBillingCode>ZI915</PriorBillingCode></PriorBillingCodes><Name>Virage Occipital Rod</Name><Description>Occipital Hinged Rod</Description><Size>One size</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL093</BillingCode><Name>REDAPT</Name><Description>Revision stem with standard and high offset options.</Description><Size>240-300mm x 12-27mm.</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1408</GroupID><SubGroupID>3953</SubGroupID><ARTGs><ARTG>293662</ARTG></ARTGs><MinimumBenefit>4540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC160</BillingCode><Name>C2 Revision Stem</Name><Description>C2 Revision Stem</Description><Size>Size 7-9 x 202 to 213mm Length</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1408</GroupID><SubGroupID>3953</SubGroupID><ARTGs><ARTG>210716</ARTG></ARTGs><MinimumBenefit>4540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI353</BillingCode><Name>Allofit Cup</Name><Description>Titanium, macro texture, non HA</Description><Size>46 - 68mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4010</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>210092</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI874</BillingCode><Name>Allofit IT Shell</Name><Description>Titanium Shell, Macro texture, Non HA</Description><Size>Shell outer diameter: 42mm-74mm in 2mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4010</SubGroupID><ARTGs><ARTG>227881</ARTG><ARTG>232428</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL085</BillingCode><Name>Reflection</Name><Description>Acetabular Cup, Spiked, Beaded, Titanium Alloy</Description><Size>40-68 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>218205</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY521</BillingCode><Name>Pinnacle Acetabular Shell</Name><Description>Titanium, beaded (Porocoat), not HA, acetabular cups</Description><Size>38 - 80mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>221679</ARTG><ARTG>223026</ARTG><ARTG>221600</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL161</BillingCode><Name>Reflection</Name><Description>Acetabular Shell, Beaded, Titanium Alloy</Description><Size>40 to 80mm </Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><ARTGs><ARTG>223821</ARTG><ARTG>223524</ARTG><ARTG>247733</ARTG><ARTG>220233</ARTG><ARTG>223823</ARTG><ARTG>223522</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD023</BillingCode><Name>FMP Acetabular Shell</Name><Description>Titanium, non HA, beaded, variable screw holes</Description><Size>42-80mm</Size><SupplierCode>DD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><ARTGs><ARTG>210540</ARTG><ARTG>210542</ARTG><ARTG>210541</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA496</BillingCode><Name>SeleXys Acetabular PC Shell</Name><Description>Uncemented Ti acetabular shell, beaded, non HA</Description><Size>42mm - 72mm in 2mm increments</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><ARTGs><ARTG>274135</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH681</BillingCode><PriorBillingCodes><PriorBillingCode>OO170</PriorBillingCode></PriorBillingCodes><Name>MUTARS RS Cup</Name><Description>Acetabulum reconstruction cup, flange multiple screw holes</Description><Size>46, 50, 54, 58, 62mm
right &amp; left</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4012</SubGroupID><ARTGs><ARTG>238836</ARTG></ARTGs><MinimumBenefit>1897</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI386</BillingCode><Name>Fitmore Cup</Name><Description>Titanium mesh non HA </Description><Size>42 to 68mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4012</SubGroupID><ARTGs><ARTG>223627</ARTG></ARTGs><MinimumBenefit>1897</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH365</BillingCode><Name>G7 Acetabular Shell</Name><Description>Acetabular Shell, porous plasma, non-HA</Description><Size>42mm to 68mm in 2 mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4013</SubGroupID><ARTGs><ARTG>231249</ARTG></ARTGs><MinimumBenefit>1856</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB378</BillingCode><Name>Plasmafit Acetabular Cup</Name><Description>Acetabular Shell with Plasmapore Coating</Description><Size>40mm - 70mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4013</SubGroupID><ARTGs><ARTG>297207</ARTG><ARTG>297206</ARTG></ARTGs><MinimumBenefit>1856</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM128</BillingCode><Name>POLAR CUP ACETABULAR Cementless Shell</Name><Description>Stainless steel with titanium plasma spray coating that has polished inner surface for dual mobility with constrained UHMWPE liner/head</Description><Size>43-67MM</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4013</SubGroupID><ARTGs><ARTG>260954</ARTG></ARTGs><MinimumBenefit>1856</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF028</BillingCode><Name>Cementless Cup plasma coated</Name><Description>Cementless Cup are availbe with No-Hole and Cluster Hole design options, shells manufactured from titanium (Ti) alloy with plasma coating, sphere and taper inner diameter geometry</Description><Size>Shell: No-Hole shell size 48-68, 2mm increments; Cluster Hole Size 48-68, 2mm increments; Multi-Hole Size 48-56, Multi-Hole with Rim Fixation, Size 56-68</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4013</SubGroupID><ARTGs><ARTG>266797</ARTG></ARTGs><MinimumBenefit>1856</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU140</BillingCode><Name>Mpact Acetabular Shells</Name><Description>Cementless titanium acetabular shell, variable holes</Description><Size>42 to 66</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>209485</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC200</BillingCode><PriorBillingCodes><PriorBillingCode>LC165</PriorBillingCode></PriorBillingCodes><Name>Delta ONE TT cup</Name><Description>Delta One TT Acetabular Cup Ti6AI4V</Description><Size>Diameter (mm) 44 - 66mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>216036</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN009</BillingCode><Name>Jump System Traser Cup</Name><Description>Uncemented Acetabular Cup</Description><Size>44mm to 70mm</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>381044</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI325</BillingCode><Name>Trabecular Metal Modular Acetabular System</Name><Description>Titanium, porous tantalum </Description><Size>38-80mm diameter; Cluster, Multiholed, No Holes</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>208903</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW637</BillingCode><Name>RAS Restoration Anatomical Shell</Name><Description>Cementless Tritanium Acetabular Cup. Multihole screw fixation.</Description><Size>54-80 L and R</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>285188</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT004</BillingCode><Name>Fixa Ti-Por Cup</Name><Description>Porous Matrix Titanium, Screw Holes with Plugs, Hemispherical Acetabular Cup</Description><Size>42-66mm</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>207934</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI125</BillingCode><Name>Austral Acetabular Shell</Name><Description>Titanium Cup with sintered titanium coating</Description><Size>44 - 68mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>386911</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW786</BillingCode><Name>Trident II Tritanium Acetabular System</Name><Description>Acetabular Shell, tritanium</Description><Size>Size A-J Diameter (mm) 42-72</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>320142</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA012</BillingCode><Name>G7 OsseoTi Acetabular Shell</Name><Description>Acetabular shell, porous Ti alloy</Description><Size>42-80mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>278984</ARTG><ARTG>287801</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI617</BillingCode><Name>Continuum Acetabular Shell</Name><Description>Trabecular Metal Acetabular Shell</Description><Size>40-80mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>289083</ARTG><ARTG>289084</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI123</BillingCode><Name>C2 Acetabular Cup</Name><Description>Uncemented Acetabular Cup with Titanium Porous Coating</Description><Size>48mm to 68mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>379310</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU141</BillingCode><Name>Mpact Revision Acetabular Shells</Name><Description>Cementless titanium acetabular shell, variable holes</Description><Size>42 to 76</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>229108</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK428</BillingCode><Name>Trident Tritanium Acetabular Shells</Name><Description>Acetabular Shell, tritanium</Description><Size>44mm - 72mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>218018</ARTG><ARTG>221598</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF144</BillingCode><Name>Logical G Shell</Name><Description>titanium Cup with sintered titanium coating</Description><Size>44 - 70mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>276894</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC199</BillingCode><PriorBillingCodes><PriorBillingCode>LC165</PriorBillingCode></PriorBillingCodes><Name>Delta Multihole TT Cup</Name><Description>Delta Multihole TT Acetabular Cup (Ti6AI4V)</Description><Size>Diameter (mm) 44 to 76</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>292687</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ653</BillingCode><Name>Pinnacle Hip System - Gription Cup</Name><Description>Porous metal acetabular cup</Description><Size>38 - 80mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>222606</ARTG><ARTG>224540</ARTG><ARTG>224199</ARTG><ARTG>236733</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ248</BillingCode><Name>REDAPT Modular Shell</Name><Description>Modular Shell, variable holes</Description><Size>48-80mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>325775</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC164</BillingCode><Name>Delta TT Acetabular Cup</Name><Description>Delta TT Acetabular Cup Ti6AI4V</Description><Size>44 - 76mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>210796</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU066</BillingCode><Name>GMK Uncemented Standard Femur</Name><Description>Uncemented standard femoral component with titanium porous covered by an hydroxyapatite coating</Description><Size>1 to 7, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>225044</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE041</BillingCode><Name>Active Knee Femoral Component</Name><Description>Femoral Component, uncemented, distally beaded with HA</Description><Size>Sizes 00 -- 5 Left &amp; Right</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>282290</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB232</BillingCode><Name>Emotion Total Knee System (TKS) Femoral Component </Name><Description>Femoral Component, uncemented, CoCr Titanium plasma spray (Plasmapore), HA coated</Description><Size>F2 - F8, Left and Right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>293929</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT011</BillingCode><PriorBillingCodes><PriorBillingCode>TZ012</PriorBillingCode></PriorBillingCodes><Name>Genus Knee System - Genus Cementless Femoral Component + HA</Name><Description>Cementless Femoral Component with HA coating</Description><Size>1-7 right, 1-7 left, Minus</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>232071</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN910</BillingCode><Name>Genesis II</Name><Description>CR HA Porous</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>242854</ARTG><ARTG>248574</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU200</BillingCode><Name>GMK Sphere Femoral component</Name><Description>Cementless femoral component</Description><Size>1 to 7 Left and Right  </Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>400440</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH602</BillingCode><Name>ACS Knee System - Femoral component Ti/TCP coated</Name><Description>Tricalcium phosphate coated resurfacing femoral component for use in knee arthroplasty</Description><Size>Left/Right 1-7</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>265602</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH550</BillingCode><Name>Trekking Knee System - Femoral Component - CR</Name><Description>Femoral Component Uncemented - CR</Description><Size>Size: T1R - T5R
Size: T1L - T5L
Shape: Left and Right
Width (mm) - Depth 53-73
Width (mm) - 59-79</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>287515</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK325</BillingCode><Name>Triathlon Knee System Femoral Component </Name><Description>Minimally stabilised, CoCr, uncemented, beaded with PA (Hydroxyapatite)</Description><Size>Sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>146118</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK334</BillingCode><Name>Scorpio NRG Knee System Femoral Component</Name><Description>Minimally stabilised, uncemented, with Hydroxyapatite, CoCr</Description><Size>Sizes 3,4,5,6,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>153875</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST030</BillingCode><Name>Scorpio Knee System Femoral Component</Name><Description>Minimally stabilised, uncemented, beaded (microstructure) with PA, (Hydroxyapatite), CoCr, </Description><Size>3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>146116</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI064</BillingCode><Name>Score Knee System Femoral Component</Name><Description>Femoral Component, CoCr, uncemented, stippled surface, titanium plasma spray with HA, pegged </Description><Size>7 Sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3917</SubGroupID><ARTGs><ARTG>210576</ARTG></ARTGs><MinimumBenefit>3575</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN911</BillingCode><Name>Genesis II</Name><Description>PS HA Porous</Description><Size>1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>247734</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU078</BillingCode><Name>GMK Uncemented Posterior stabilised femur</Name><Description>Uncemented posterior stabilised femoral component with titanium porus coating covered by an hydroxyapatite coating</Description><Size>0 to 7, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>211441</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH551</BillingCode><Name>Trekking Knee System - Femoral Component PS</Name><Description>Femoral Component PS</Description><Size>Shape: Left and Right
Width (mm): Depth 53-73
Width (mm): 59-79
Size: T1L - T5L
Size: T1R - T5R</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>287514</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI121</BillingCode><Name>Anatomic Cementless Femur</Name><Description>Posterior-Stabilised Cementless Femur Plasma-Sprayed Titanium and HAP</Description><Size>Sizes 0 to 8 left and right</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>222528</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR004</BillingCode><Name>Scorpio NRG Knee System Femoral Component</Name><Description>Posterior stabilised, uncemented with Hydroxyapatite, CoCr, </Description><Size>Sizes 3,4,5,6,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>153875</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR024</BillingCode><Name>Triathlon Knee System Femoral Component</Name><Description>Posterior stabilised, uncemented, beaded with PA (Hydroxyapatite), CoCr  </Description><Size>Size 1 - 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>146119</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR006</BillingCode><Name>Scorpio Knee System Femoral Component</Name><Description>Posterior stabilised, uncemented, beaded (microstructure) with PA (Hydroxyapatite), CoCr</Description><Size>3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1352</GroupID><SubGroupID>3918</SubGroupID><ARTGs><ARTG>146117</ARTG></ARTGs><MinimumBenefit>3663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI266</BillingCode><Name>NexGen Trabecular Metal Augmented Patella</Name><Description>Augmented trabecular metal  combined with NexGen all poly patella component (2 piece)</Description><Size>Small, medium, large and x-large</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1378</GroupID><SubGroupID>3929</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>228294</ARTG></ARTGs><MinimumBenefit>385</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI147</BillingCode><Name>NexGen  Patella Component </Name><Description>Metal backed, trabecular metal (Tantalum), patella component, with moulded UHMWPE, uncemented</Description><Size>26 - 41</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1378</GroupID><SubGroupID>3929</SubGroupID><ARTGs><ARTG>227807</ARTG></ARTGs><MinimumBenefit>385</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV019</BillingCode><Name>Triathlon Tritanium Metal Backed Patella</Name><Description>Patella component, Metal backed, Tritanium, uncemented, Moulded UHMWPE (N2VAC)</Description><Size>29mm - 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1378</GroupID><SubGroupID>3929</SubGroupID><ARTGs><ARTG>284592</ARTG></ARTGs><MinimumBenefit>385</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ399</BillingCode><Name>Heart Mate 3 Holster Vest</Name><Description>Holster Vest</Description><Size>Small, medium and large</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1831</GroupID><SubGroupID>6033</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>272795</ARTG></ARTGs><MinimumBenefit>328</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ382</BillingCode><Name>HeartMate II Left Ventricular Assist System - Modular Belt</Name><Description>Modular belt to hold System Controller and Batteries</Description><Size>Small / Medium 
Large</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1831</GroupID><SubGroupID>6033</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>272795</ARTG></ARTGs><MinimumBenefit>328</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ380</BillingCode><Name>HeartMate II Left Ventricular Assist System - Shower Bag</Name><Description>Shower Bag</Description><Size>One size only; set of 2</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1831</GroupID><SubGroupID>6034</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>272795</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ397</BillingCode><Name>Heart Mate 3 Shower Bag</Name><Description>Shower Bag</Description><Size>One size only; set of 2</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1831</GroupID><SubGroupID>6034</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>272795</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ381</BillingCode><Name>HeartMate II Left Ventricular Assist System - Stabilization Belt</Name><Description>Fabric belt for Stabilizing percutaneous lead</Description><Size>Small / medium; set of 2 
large; set of 2</Size><SupplierCode>SJ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>259</SubCategoryID><GroupID>1831</GroupID><SubGroupID>6031</SubGroupID><Suffix>No Suffix</Suffix><ARTGs><ARTG>221217</ARTG></ARTGs><MinimumBenefit>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW525</BillingCode><Name>Exeter Hip X-Change Revision System</Name><Description>X-Change Stainless steel Revision Mesh - Medial Wall,Rim, Femoral. Flat</Description><Size>Small, medium and large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1777</GroupID><SubGroupID>5399</SubGroupID><ARTGs><ARTG>205495</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU241</BillingCode><PriorBillingCodes><PriorBillingCode>DE577</PriorBillingCode></PriorBillingCodes><Name>BioSync Anatomic Reconstruction Wedge</Name><Description>Titanium metal scaffold for angular correction in ankle and foot</Description><Size>Cotton Wedges 16mm-20mm Depth x 4.5mm-7.5mm Thickness  Evans Wedges  18mm-22mm Width &amp; Depth x 6.5mm-12mm Thickness</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1777</GroupID><SubGroupID>5399</SubGroupID><Suffix>3D anatomical</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>1219</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO107</BillingCode><Name>APTUS Wedge</Name><Description>Titanium Wedges</Description><Size>Wedges 4mm-12mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1777</GroupID><SubGroupID>5399</SubGroupID><Suffix>3D anatomical</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1219</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW718</BillingCode><PriorBillingCodes><PriorBillingCode>WR071</PriorBillingCode></PriorBillingCodes><Name>BioFoam Bone Wedge</Name><Description>Titanium metal scaffold for angular correction in ankle and foot</Description><Size>Depth 14 - 44mm  Width 10 - 44mm  Thickness 4.5 - 12mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1777</GroupID><SubGroupID>5399</SubGroupID><Suffix>3D anatomical</Suffix><ARTGs><ARTG>198485</ARTG></ARTGs><MinimumBenefit>1219</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ578</BillingCode><Name>adbone BCP </Name><Description>Bone Graft Substitute - Block, Wedge, Granules (0.1-0.5mm, 0.5 - 1mm, 1-2mm, 3-4mm) or Crunch (4-7mm)</Description><Size>0-5gms</Size><SupplierCode>JL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ178</BillingCode><Name>GlassBONE Granules</Name><Description>Bioglass granules for bone grafting</Description><Size>0.5-5cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>433832</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW691</BillingCode><PriorBillingCodes><PriorBillingCode>WR018</PriorBillingCode></PriorBillingCodes><Name>Osteoset Bone Void Filler</Name><Description>Calcium Sulphate</Description><Size>4.8mm Syringe 5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>171900</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN341</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass Bone Graft - BG Putty and BG Putty GPS</Description><Size>1-4cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387410</ARTG><ARTG>387411</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX315</BillingCode><Name>ACTIFUSE SHAPE 2.6mL–BONE MATRIX IMPLANT ARTIFICIAL</Name><Description>A silicate substituted synthetic bone graft</Description><Size>2.6mL</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>203922</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX351</BillingCode><Name>INDUCTIGRAFT</Name><Description>Silicate Substituted Calcium Phosphate Bone Graft   Substitute, 82.5% Porosity</Description><Size>0-5ML  </Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>402036</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX313</BillingCode><Name>Actifuse ABX Easyfill Putty</Name><Description>Actifuse ABX Easyfill Putty - A silicate substituted synthetic bone graft</Description><Size>5ml</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>188736</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX314</BillingCode><Name>ACTIFUSE SHAPE 1.6mL–BONE MATRIX IMPLANT ARTIFICIAL</Name><Description>A silicate substituted synthetic bone graft</Description><Size>1.6mL</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>203922</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW856</BillingCode><PriorBillingCodes><PriorBillingCode>WR323</PriorBillingCode></PriorBillingCodes><Name>Augment Bone Graft - rhPDGF-BB component</Name><Description>rhPDGF-BB solution (0.3mg/ml)</Description><Size>1.5cc (0.45mg)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>191454</ARTG></ARTGs><Note>The Prostheses List benefit is limited to reimbursement for the use of the device as an alternative to autograft in hindfoot and ankle fusion procedures that require supplemental graft material, including tibiotalar, tibiocalcaneal, talonavicular and calcaneocuboid fusions, or any other procedure if stated in the Intended Purpose in the Australian Register of Therapeutic Goods (ARTG) entry 191454.</Note><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER106</BillingCode><Name>GeneX</Name><Description>GeneX putty</Description><Size>5cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>155298</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ333</BillingCode><PriorBillingCodes><PriorBillingCode>LM215</PriorBillingCode></PriorBillingCodes><Name>BonAlive Granules</Name><Description>Bone Graft Substitute - Bioactive Glass Granules</Description><Size>Range (1-5cc)
0.5-08mm (small) 1cc
0.5-08mm (small) 2.5cc
0.5-0.8mm (small) 5cc
1.0-2.0mm (medium) 5cc
2.0-3.15mm (large) 5cc</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>176953</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM215
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ028</BillingCode><PriorBillingCodes><PriorBillingCode>CR298</PriorBillingCode></PriorBillingCodes><Name>NanoBone - Putty</Name><Description>Nanocrystalline HA in a porous silica matrix, synthetic bone graft substitute putty</Description><Size>0.5ml, 1.0ml, 2.5ml, 5ml</Size><SupplierCode>IJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>292263</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ029</BillingCode><PriorBillingCodes><PriorBillingCode>CR297</PriorBillingCode></PriorBillingCodes><Name>NanoBone - Granules</Name><Description>Nanocrystalline HA in a porous silica matrix, synthetic bone graft substitute granules</Description><Size>0.6ml, 1.2ml, 2.4ml, 5ml</Size><SupplierCode>IJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>281303</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH562</BillingCode><Name>i-FACTOR Putty Peptide Enhanced Bone Graft</Name><Description>P-15, ABM, Osteoinductive, Osteoconductive bone graft substitute</Description><Size>0 - 5.0mL</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>169831</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX310</BillingCode><Name>Actifuse ABX Easyfill</Name><Description>Actifuse ABX Easyfill - A silicate substituted synthetic bone graft</Description><Size>1.5mL to 4mL</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>188736</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OK005</BillingCode><Name>NanoBone - Putty</Name><Description>QD and SBX Putty</Description><Size>0.25ml, 0.5ml, 1.0ml, 2.5ml, 5ml</Size><SupplierCode>OK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>314924</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OK003</BillingCode><Name>NanoBone - Granulate</Name><Description>Nanocrystalline HA in a porous silica matrix, synthetic bone graft substitute granulate</Description><Size>0.6ml, 1.2ml, 2.4ml, 5ml</Size><SupplierCode>OK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>281251</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ096</BillingCode><PriorBillingCodes><PriorBillingCode>SQ185</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Putty</Name><Description>Granule size 0.25-2mm</Description><Size>0.5cc, 1cc, 2cc, 2.5cc, 5cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>345090</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE655</BillingCode><Name>NovaBone BioGlass</Name><Description>Bioactive synthetic bone graft - calcium phospo-silicate</Description><Size>0.25 - 5cc</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>302472</ARTG><ARTG>302473</ARTG><ARTG>320170</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ093</BillingCode><PriorBillingCodes><PriorBillingCode>SQ188</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Granules</Name><Description>Granule size 0.15-4mm</Description><Size>0.5cc, 1cc, 2cc, 5cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>343493</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN232</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>0-5cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>153247</ARTG><ARTG>159907</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW692</BillingCode><PriorBillingCodes><PriorBillingCode>WR019</PriorBillingCode></PriorBillingCodes><Name>Osteoset MIIG X3</Name><Description>Injectable Calcium Sulphate Bone Void Filler, Includes Syringe</Description><Size>5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172285</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW690</BillingCode><PriorBillingCodes><PriorBillingCode>WR017</PriorBillingCode></PriorBillingCodes><Name>Osteoset Bone Void Filler</Name><Description>Calcium Sulphate</Description><Size>3mm Syringe 1.25cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>171900</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM091</BillingCode><Name>Injectable Calcium Phosphate Synthetic Bone Substitute</Name><Description>Calcium Phosphate Bone Substitute</Description><Size>5cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>115698</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VG001</BillingCode><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>5ml</Size><SupplierCode>VG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN344</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>2cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387006</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ335</BillingCode><PriorBillingCodes><PriorBillingCode>LM207</PriorBillingCode></PriorBillingCodes><Name>BonAlive Putty</Name><Description>Bone Graft Substitute - Bioactive Glass Putty</Description><Size>1cc, 2.5cc, 5cc</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>231484</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM207
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ004</BillingCode><Name>In'Oss</Name><Description>Synthetic Bone Graft Putty 
Hydroxyapatite/Beta Calcium Phosphate (HA/beta-TCP) and Hydroxpropylmethylcellulose hydrogel carrier (HPMC)</Description><Size>0.5 - 5ml</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>203574</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK191</BillingCode><Name>VITOSS - Synthetic Cancellous bone void filler</Name><Description>Beta-tricalcium phosphate</Description><Size>5cc morsels</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>77710</ARTG><ARTG>140557</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER104</BillingCode><Name>GeneX</Name><Description>GeneX/GeneX DS paste</Description><Size>2.5 and 5cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>158711</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF060</BillingCode><Name>Osteoflo G</Name><Description>Biphasic Calcium Phosphate</Description><Size>1cc,2cc, 5cc Granules</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>273800</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA074</BillingCode><PriorBillingCodes><PriorBillingCode>ZI194</PriorBillingCode><PriorBillingCode>ZI195</PriorBillingCode><PriorBillingCode>ZI196</PriorBillingCode><PriorBillingCode>ZI198</PriorBillingCode></PriorBillingCodes><Name>Bone Graft Substitute</Name><Description>Triosite block and wedges</Description><Size>10-20mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>143036</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY331</BillingCode><Name>Norian®</Name><Description>Fast Set Putty</Description><Size>3cc-5cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>207130</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY001</BillingCode><PriorBillingCodes><PriorBillingCode>EV038</PriorBillingCode></PriorBillingCodes><Name>GlassBONE Injectable Putty</Name><Description>Injectable putty for bone grafting</Description><Size>0.1cc to 5cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>341771</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC594</BillingCode><Name>Mastergraft</Name><Description>Calcium Phosphate Ceramic Granules</Description><Size>5cc Vial</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>96971</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC853</BillingCode><Name>Nanostim</Name><Description>Synthetic Bone Paste</Description><Size>1cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>158926</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY073</BillingCode><PriorBillingCodes><PriorBillingCode>DR002</PriorBillingCode></PriorBillingCodes><Name>BioSphere Putty</Name><Description>Bone Graft Substitue - Bioactive Glass Putty</Description><Size>1cc, 2.5cc, 5cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>297474</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC415</BillingCode><Name>BCP</Name><Description>Biphasic Calcium Phosphate Reabsorbable Graft Supplement</Description><Size>1-3cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>144137</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC854</BillingCode><Name>Nanostim</Name><Description>Synthetic Bone Paste</Description><Size>2cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>158926</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER655</BillingCode><Name>Biocomposites Stimulan kit 5 cc</Name><Description>Calcium Sulfate synthetic bone void filler kit   </Description><Size>5cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>391242</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF005</BillingCode><Name>Osteoflo</Name><Description>Biphasic Calcium Phosphate; Hydrated Biphasic Calcium Phosphate (Putty)</Description><Size>1ml, 2ml, 5ml</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>185876</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM240</BillingCode><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>0.5cc, 1cc, 2cc, 2.5cc, 5cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV075</BillingCode><Name>AttraX bone graft substitute</Name><Description>1cc Cylinder (Putty)
2cc Cylinder (Putty)
2.5cc Cylinder (Putty)
5cc (2x2.5cc) Strip (Putty)</Description><Size>1cc, 2cc 2.5cc, 5cc</Size><SupplierCode>NV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>180974</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC009</BillingCode><Name>uDesis Gel 1cc-5cc</Name><Description>uDesis  is a synthetic, highly crystalline beta-tricalcium phosphate bone substitute.</Description><Size>1cc, 2.5cc, 5cc</Size><SupplierCode>PC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>353248</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU168</BillingCode><Name>In'Oss</Name><Description>Synthetic Bone Graft Putty Hydroxyapatite/Beta Calcium Phosphate (HA/beta-TCP) and Hydroxpropylmethylcellulose hydrogel carrier (HPMC).</Description><Size>0.5 ÷ 5ml</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>303932</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH766</BillingCode><Name>Reosrba Synthetic bone</Name><Description>Injectable Bone Substitute – Putty</Description><Size>0.5-5mL</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>400447</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV003</BillingCode><Name>4Bone Synthetic Bone Graft</Name><Description>HA/βTCP synthetic bone graft</Description><Size>0.5cc, 1cc, 2cc</Size><SupplierCode>MV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>147636</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG001</BillingCode><Name>Nanogel</Name><Description>Injectable Synthetic Bone Substitute Paste In A Syringe</Description><Size>0.5ml  1.0ml  2.5ml  5.0ml</Size><SupplierCode>QG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>325849</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV001</BillingCode><Name>BondBone</Name><Description>Biphasic Calcium Sulfate</Description><Size>0.5cc, 1cc</Size><SupplierCode>MV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>189584</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH560</BillingCode><Name>JectOS</Name><Description>Injectable synthetic bone graft substitute</Description><Size>5cc</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>141918</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ026</BillingCode><PriorBillingCodes><PriorBillingCode>SV051</PriorBillingCode></PriorBillingCodes><Name>GelOS™</Name><Description>Gel based Synthetic bone substitute</Description><Size>1cc, 2.5cc, 5cc</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>233982</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB362</BillingCode><Name>Nanogel</Name><Description>Synthetic, Biomimetic Bone Substitute Material</Description><Size>Syringe 0.5ml, 1.0ml, 2.5ml, 5.0ml</Size><SupplierCode>BB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>282244</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH768</BillingCode><Name>Reosrba Synthetic bone</Name><Description>60/40 HA/TCP bone graft substitute</Description><Size>2cc, 5cc Granules</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>400446</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW789</BillingCode><PriorBillingCodes><PriorBillingCode>WR005</PriorBillingCode></PriorBillingCodes><Name>ProDense / Osteoset</Name><Description>Composite Bone Void Filler - Pellets</Description><Size>2cc, 5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>172033</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ005</BillingCode><Name>ReproBone</Name><Description>TCP/HA Synthetic Bone Graft Granules</Description><Size>0.5-5cc</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>231295</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW673</BillingCode><PriorBillingCodes><PriorBillingCode>SR061</PriorBillingCode><PriorBillingCode>SK480</PriorBillingCode></PriorBillingCodes><Name>HydroSet Injectable Calcium Phosphate Cement</Name><Description>Injectable, rapid set, calcium phosphate bone substitute kit</Description><Size>0-5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>138334</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER651</BillingCode><PriorBillingCodes><PriorBillingCode>ER153</PriorBillingCode><PriorBillingCode>ER155</PriorBillingCode></PriorBillingCodes><Name>SIGNUS KAINOS</Name><Description>Bioactive Bone Graft Substitute Granules </Description><Size>2 or 5 cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>122272</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM239</BillingCode><Name>Exabone HA/TCP Wedges, Blocks, Discs</Name><Description>HA/TCP Bone Substitute</Description><Size>Wedges: 15-35mm width x 20-15mm length x 6-14mm height 1 X 4-10mm height 2
Blocks: 4-20mm length x 10-30mm width x 10-45mm height
Discs: 5-20mm diameter x 5-20mm height</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ009</BillingCode><Name>ReproBone novo</Name><Description>HA Synthetic Bone Graft Paste</Description><Size>0.5-5ml</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>217839</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI193</BillingCode><Name>Bone Graft Substitute</Name><Description>Triosite Granules (2 - 3mm grain size) - HATCP</Description><Size>5g Tube</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>143036</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW689</BillingCode><PriorBillingCodes><PriorBillingCode>WR016</PriorBillingCode></PriorBillingCodes><Name>Osteoset Bone Void Filler</Name><Description>Calcium Sulphate</Description><Size>3mm &amp; 4.8mm Pellets 5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>171899</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK184</BillingCode><Name>VITOSS - Synthetic cancellous bone void filler</Name><Description>Beta-tricalcium phosphate</Description><Size>1.2cc dowel</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>140557</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW790</BillingCode><PriorBillingCodes><PriorBillingCode>WR002</PriorBillingCode></PriorBillingCodes><Name>ProDense / Osteoset XR</Name><Description>Composite Injectable Bone Void Filler</Description><Size>2cc-5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI192</BillingCode><Name>Bone Graft Substitute</Name><Description>Triosite Granules (0.5 - 1.0 mm grain sizes)- HATCP</Description><Size>1 g Tube</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>143036</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER652</BillingCode><Name>Biocomposites Stimulan Rapid Cure 5 cc</Name><Description>Calcium Sulfate synthetic rapid setting bone void filler kit.  </Description><Size>5cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>391243</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN233</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>0-5cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>153247</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM235</BillingCode><Name>HA/TCP Granules</Name><Description>HA/TCP Bone graft substitute Granules</Description><Size>2.5cc, 5cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER107</BillingCode><Name>GeneX</Name><Description>GeneX putty</Description><Size>2.5cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>155298</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ056</BillingCode><Name>ReproBone fusion</Name><Description>HA paste with HA/TCP granules</Description><Size>1cc
2.5cc
5cc</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>297896</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW857</BillingCode><PriorBillingCodes><PriorBillingCode>WR325</PriorBillingCode></PriorBillingCodes><Name>Augment Bone Graft - β-TCP component</Name><Description>β-TCP granules</Description><Size>1.5 cc, 3cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>191454</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW568</BillingCode><Name>Stryker DirectInject</Name><Description>DirectInject bone cement</Description><Size>3cc
5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>278932</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV016</BillingCode><Name>ProDense 2.0</Name><Description>Injectable Bone Graft Substitute</Description><Size>2cc, 5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB184</BillingCode><Name>SIGNIFY Bioactive</Name><Description>Osteostimulative and osteoconductive bioactive bone void filler</Description><Size>2cc and 5cc</Size><SupplierCode>LB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>317260</ARTG><ARTG>317449</ARTG><ARTG>317427</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC855</BillingCode><Name>Nanostim</Name><Description>Synthetic Bone Paste</Description><Size>5cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>158926</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW687</BillingCode><PriorBillingCodes><PriorBillingCode>WR014</PriorBillingCode></PriorBillingCodes><Name>OSTEOSET - BVT KIT (STANDARD CURE, FAST CURE)</Name><Description>Mini Bead Kit</Description><Size>5cc Standard/Fast Cure</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>173515</ARTG><ARTG>173514</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT021</BillingCode><Name>Integrant Bone Graft Granules</Name><Description>Osteo Conductive Bone Substitute, that promotes bone growth</Description><Size>0.5cc - 5.0cc</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>282832</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU272</BillingCode><PriorBillingCodes><PriorBillingCode>DE476</PriorBillingCode></PriorBillingCodes><Name>Quickset</Name><Description>Injectable Macroporous Calcium Phospahte</Description><Size>5cc</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>267632</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ336</BillingCode><PriorBillingCodes><PriorBillingCode>LM208</PriorBillingCode></PriorBillingCodes><Name>BonAlive Putty</Name><Description>Bone Graft Substitute - Bioactive Glass Putty</Description><Size>10cc</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>231484</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM208
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY002</BillingCode><PriorBillingCodes><PriorBillingCode>EV037</PriorBillingCode></PriorBillingCodes><Name>GlassBONE Injectable Putty</Name><Description>Injectable putty for bone grafting</Description><Size>10cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>341771</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH769</BillingCode><Name>Reosrba Synthetic bone</Name><Description>Injectable Bone Substitute – Granules / Syringe</Description><Size>10cc Granules</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>400446</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB183</BillingCode><Name>SIGNIFY Bioactive</Name><Description>Osteostimulative and osteoconductive bioactive bone void filler</Description><Size>10cc</Size><SupplierCode>LB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>317427</ARTG><ARTG>317260</ARTG><ARTG>317449</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY074</BillingCode><PriorBillingCodes><PriorBillingCode>DR003</PriorBillingCode></PriorBillingCodes><Name>BioSphere Putty</Name><Description>Bone Graft Substrate - Bioactive Glass</Description><Size>6cc-10cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>297474</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN345</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>6cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387006</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN231</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>5 - 10cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>153247</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV017</BillingCode><Name>ProDense 2.0</Name><Description>Injectable Bone Graft Substitute </Description><Size>7cc, 10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK189</BillingCode><Name>CORTOSS - Synthetic cortical bone void filler</Name><Description>-</Description><Size>10cc CORTOSS kit</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>140547</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW993</BillingCode><PriorBillingCodes><PriorBillingCode>WR003</PriorBillingCode></PriorBillingCodes><Name>ProDense / Osteoset XR</Name><Description>Composite Injectable Bone Void Filler</Description><Size>10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW573</BillingCode><Name>Stryker DirectInject</Name><Description>DirectInject bone cement</Description><Size>10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>278932</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV002</BillingCode><Name>4Bone Synthetic Bone Graft</Name><Description>HA/βTCP synthetic bone graft</Description><Size>6cc</Size><SupplierCode>MV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>147636</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ177</BillingCode><Name>GlassBONE Granules</Name><Description>Bioglass granules for bone graft</Description><Size>6cc-10cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>433832</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ097</BillingCode><PriorBillingCodes><PriorBillingCode>SQ186</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Putty</Name><Description>Granule size 0.25-2mm</Description><Size>10cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>345090</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE656</BillingCode><Name>NovaBone BioGlass</Name><Description>Bioactive synthetic bone graft - calcium phospho-silicate</Description><Size>8cc-10cc</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>302472</ARTG><ARTG>302473</ARTG><ARTG>302474</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ094</BillingCode><PriorBillingCodes><PriorBillingCode>SQ183</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Granules</Name><Description>Granule size 0.15-4mm</Description><Size>10cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>343493</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OK006</BillingCode><PriorBillingCodes><PriorBillingCode>GO291</PriorBillingCode></PriorBillingCodes><Name>NanoBone - Putty</Name><Description>QD and SBX Putty</Description><Size>10ml</Size><SupplierCode>OK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>314924</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX317</BillingCode><Name>ACTIFUSE SHAPE 8.0mL –BONE MATRIX IMPLANT ARTIFICIAL</Name><Description>A silicate substituted synthetic bone graft</Description><Size>8.0mL</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>203922</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX308</BillingCode><Name>Actifuse ABX MIS</Name><Description>Actifuse ABX MIS, Refill Cartridge, 7.5ml</Description><Size>7.5ml</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>193684</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX312</BillingCode><Name>Actifuse ABX Easyfill Putty</Name><Description>Actifuse ABX Easyfill Putty - A silicate substituted synthetic bone graft</Description><Size>10ml</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>188736</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX350</BillingCode><Name>INDUCTIGRAFT</Name><Description>Silicate Substituted Calcium Phosphate Bone Graft   Substitute, 82.5% Porosity</Description><Size>10ML</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>402036</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX309</BillingCode><Name>Actifuse ABX MIS</Name><Description>Actifuse ABX MIS, Applicator and Cartridge, 7.5ml</Description><Size>7.5ml</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>193684</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH566</BillingCode><Name>i-FACTOR Putty Peptide Enhanced Bone Graft</Name><Description>P-15, ABM, Osteoinductive, Osteoconductive bone graft substitute</Description><Size>5.0ml - 10ml</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>169831</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ027</BillingCode><PriorBillingCodes><PriorBillingCode>CR299</PriorBillingCode></PriorBillingCodes><Name>NanoBone - Putty</Name><Description>Nanocrystalline HA in a porous silica matrix, synthetic bone graft substitute putty</Description><Size>10ml</Size><SupplierCode>IJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>292263</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ579</BillingCode><Name>adbone BCP </Name><Description>Bone Graft Substitute. Block, Wedge, Granules (0.1-0.5mm, 0.5-1mm, 1-2mm, 3-4mm) or Crunch (4-7mm)</Description><Size>5-10cc</Size><SupplierCode>JL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER656</BillingCode><Name>Biocomposites Stimulan kit 10 cc</Name><Description>Calcium Sulfate synthetic bone void filler kit  </Description><Size>10 cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>391242</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ027</BillingCode><PriorBillingCodes><PriorBillingCode>SV052</PriorBillingCode></PriorBillingCodes><Name>GelOS™</Name><Description>Gel based Synthetic bone substitute</Description><Size>10cc</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>233982</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC856</BillingCode><Name>Nanostim</Name><Description>Synthetic Bone Paste</Description><Size>10cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>158926</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN342</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass Bone Graft - BG Putty and BG Putty GPS</Description><Size>6cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387411</ARTG><ARTG>387410</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK001</BillingCode><PriorBillingCodes><PriorBillingCode>ER290</PriorBillingCode></PriorBillingCodes><Name>Tecres CAL-CEMEX bone void filler</Name><Description>CAL-CEMEX bone void filler with optional mixing device</Description><Size>10 grams</Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>219764</ARTG><ARTG>223957</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK002</BillingCode><PriorBillingCodes><PriorBillingCode>ER291</PriorBillingCode></PriorBillingCodes><Name>Tecres CAL-CEMEX Bone Void Filler</Name><Description>CAL-CEMEX Bone Void Filler with delivery system</Description><Size>10 gram</Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>219764</ARTG><ARTG>220245</ARTG><ARTG>223957</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU271</BillingCode><PriorBillingCodes><PriorBillingCode>DE477</PriorBillingCode></PriorBillingCodes><Name>Quickset</Name><Description>Injectable Macropourous Calcium Phosphate</Description><Size>8cc</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>267632</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY332</BillingCode><Name>Norian®</Name><Description>Fast Set Putty</Description><Size>10cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>207130</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY002</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>5 - 10cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>153247</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF061</BillingCode><Name>Osteoflo G</Name><Description>Biphasic Calcium Phosphate</Description><Size>6cc,10cc Granules</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>185876</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC595</BillingCode><Name>Mastergraft</Name><Description>Calcium Phosphate Ceramic Granules</Description><Size>10cc Vial</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>96971</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER653</BillingCode><Name>Biocomposites Stimulan Rapid Cure 10 cc</Name><Description>Calcium Sulfate synthetic rapid setting bone void filler kit.  </Description><Size>10 cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>391243</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR054</BillingCode><Name>HydroSet Injectable Calcium Phosphate</Name><Description>Injectable, rapid set, calcium phosphate bone substitute kit</Description><Size>10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>138334</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER103</BillingCode><Name>GeneX</Name><Description>GeneX paste</Description><Size>10cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>158711</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW686</BillingCode><PriorBillingCodes><PriorBillingCode>WR012</PriorBillingCode></PriorBillingCodes><Name>Osteoset</Name><Description>Calcium Sulphate</Description><Size>4.8mm pellets 10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>171899</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ006</BillingCode><Name>ReproBone</Name><Description>TCP/HA Synthetic Bone Graft Granules</Description><Size>6-10cc</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>231295</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER105</BillingCode><Name>GeneX</Name><Description>GeneX putty</Description><Size>10cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>155298</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM241</BillingCode><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>10cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK188</BillingCode><Name>VITOSS - Synthetic cancellous bone void filler</Name><Description>Beta-tricalcium phosphate</Description><Size>10cc morsels and 10cc dowels</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>77710</ARTG><ARTG>140557</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW683</BillingCode><PriorBillingCodes><PriorBillingCode>WR006</PriorBillingCode></PriorBillingCodes><Name>ProDense / Osteroset XR</Name><Description>Composite Bone Void Filler - Pellets</Description><Size>10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>172033</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM236</BillingCode><Name>HA/TCP Granules</Name><Description>HA/TCP Bone graft substitute Granules</Description><Size>10cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER157</BillingCode><Name>Kainos</Name><Description>Granules</Description><Size>1x10cm3</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>122272</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ010</BillingCode><Name>ReproBone novo</Name><Description>HA Synthetic Bone Graft Paste</Description><Size>6-10ml</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>217839</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH767</BillingCode><Name>Reosrba Synthetic bone</Name><Description>Injectable Bone Substitute – Putty</Description><Size>10mL</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>400447</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV076</BillingCode><Name>AttraX bone graft substitute (&gt;5cc&lt;=10cc)</Name><Description>6cc (2x3cc) Blocks (Putty)
10cc (2x5cc) Strip (Putty)</Description><Size>6cc, 10cc</Size><SupplierCode>NV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>180974</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ334</BillingCode><PriorBillingCodes><PriorBillingCode>LM216</PriorBillingCode></PriorBillingCodes><Name>BonAlive Granules</Name><Description>Bone Graft Substitute - Bioactive Glass Granules</Description><Size>(5.1-10cc)
13140 - 0.5-0.8mm small granules, 10cc syringe
13340 - 1.0-2.0mm medium granules, 10cc syringe
13440 - 2.0-3.15mm large granules, 10cc syringe</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>176953</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM216
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VG002</BillingCode><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>10ml</Size><SupplierCode>VG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ176</BillingCode><Name>GlassBONE Granules</Name><Description>Bioglass granules for bone grafting</Description><Size>10cc-20cc</Size><SupplierCode>IY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>433832</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE657</BillingCode><Name>NovaBone BioGlass</Name><Description>Bioactive synthetic bone graft - calcium phospho-silicate</Description><Size>15cc </Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>302475</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ098</BillingCode><PriorBillingCodes><PriorBillingCode>SQ187</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Putty</Name><Description>Granule size 1-2mm</Description><Size>20cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>345090</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ095</BillingCode><PriorBillingCodes><PriorBillingCode>SQ184</PriorBillingCode></PriorBillingCodes><Name>MagnetOS Granules</Name><Description>Granule size 0.25-4mm</Description><Size>15cc, 20cc</Size><SupplierCode>AAE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>343493</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VG003</BillingCode><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>18ml</Size><SupplierCode>VG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN343</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass Bone Graft - BG Putty and BG Putty GPS</Description><Size>11cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387410</ARTG><ARTG>387411</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN346</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>11cc</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387006</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX318</BillingCode><Name>ACTIFUSE SHAPE15.8mL –BONE MATRIX IMPLANT ARTIFICIAL</Name><Description>A silicate substituted synthetic bone graft</Description><Size>15.8mL</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>203922</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX349</BillingCode><Name>INDUCTIGRAFT</Name><Description>Silicate Substituted Calcium Phosphate Bone Graft Substitute, 82.5%  Porosity</Description><Size>20ML</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>402036</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW682</BillingCode><PriorBillingCodes><PriorBillingCode>WR004</PriorBillingCode></PriorBillingCodes><Name>ProDense/Osteoset XR</Name><Description>Composite Injectable Bone Void Filler</Description><Size>20cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW800</BillingCode><PriorBillingCodes><PriorBillingCode>WR215</PriorBillingCode></PriorBillingCodes><Name>Pro-Dense core Decompression Kit</Name><Description>Composite Injectable Bone Void Filler plus instrumentation kit for core decompression</Description><Size>15cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172105</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW693</BillingCode><PriorBillingCodes><PriorBillingCode>WR020</PriorBillingCode></PriorBillingCodes><Name>Osteoset MIIG X3</Name><Description>Injectable Calcium Sulphate Bone Void Filler, Includes Syringe</Description><Size>15cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172285</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM242</BillingCode><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>15cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV015</BillingCode><Name>ProDense 2.0</Name><Description>Injectable Bone Graft Substitute </Description><Size>12cc, 15cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>172032</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ577</BillingCode><Name>adbone BCP</Name><Description>Bone Graft Substitute.  Granules (0.1-0.5mm, 0.5-1mm, 1-2mm, 3-4mm) or Crunch (4-7mm)</Description><Size>10-20cc</Size><SupplierCode>JL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU249</BillingCode><PriorBillingCodes><PriorBillingCode>DE478</PriorBillingCode></PriorBillingCodes><Name>Quickset</Name><Description>Injectable Macroporous Calcium Phosphate</Description><Size>16cc</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>CDS</Suffix><ARTGs><ARTG>267632</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW688</BillingCode><PriorBillingCodes><PriorBillingCode>WR015</PriorBillingCode></PriorBillingCodes><Name>Osteoset Pellets - Bone Graft Substitute</Name><Description>Calcium Sulphate</Description><Size>4.8mm Pellets 20cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>171899</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM237</BillingCode><Name>HA/TCP Granules</Name><Description>HA/TCP Bone graft substitute Granules</Description><Size>15cc, 20cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW684</BillingCode><PriorBillingCodes><PriorBillingCode>WR007</PriorBillingCode></PriorBillingCodes><Name>ProDense / Osteoset XR</Name><Description>Composite Bone Void Filler - Pellets</Description><Size>20cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>172033</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX311</BillingCode><Name>ACTIFUSE ABX Putty</Name><Description>Actifuse AVX Putty - A silicated substituted synthetic bone graft.</Description><Size>20ml</Size><SupplierCode>BX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>188736</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH770</BillingCode><Name>Reosrba Synthetic bone</Name><Description>Injectable Bone Substitute – Granules / Syringe</Description><Size>16 &amp; 20cc</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>400446</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ028</BillingCode><PriorBillingCodes><PriorBillingCode>SV059</PriorBillingCode></PriorBillingCodes><Name>GelOS</Name><Description>Gel based synthetic bone substitute</Description><Size>15cc</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>233982</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ011</BillingCode><Name>ReproBone novo</Name><Description>HA Synthetic Bone Graft Paste</Description><Size>11-20ml</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>217839</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC596</BillingCode><Name>Mastergraft</Name><Description>Calcium Phosphate Ceramic Granules</Description><Size>15cc Vial</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>96971</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ007</BillingCode><Name>ReproBone</Name><Description>TCP/HA Synthetic Bone Graft Granules</Description><Size>11-20cc</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>231295</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK185</BillingCode><Name>VITOSS - Synthetic cancellous bone void filler</Name><Description>Beta-tricalcium phosphate</Description><Size>15cc morsels</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>77710</ARTG><ARTG>140557</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER654</BillingCode><Name>Biocomposites Stimulan Rapid Cure 20 cc</Name><Description>  Calcium Sulfate synthetic rapid setting bone void filler kit  </Description><Size>20 cc</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>391243</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK481</BillingCode><Name>HydroSet injectable Calcium Phosphate Cement</Name><Description>Injectable, rapid set, calcium phosphate bone substitute kit</Description><Size>15cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>138334</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH564</BillingCode><Name>i-Factor Flex &amp; Flex FR Peptide Enhanced Bone Graft – 25mm</Name><Description>P-15, ABM, Osteoinductive, Osteoconductive bone graft substitute</Description><Size>25mm x 25mm x 4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>231653</ARTG><ARTG>176753</ARTG></ARTGs><MinimumBenefit>5700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH567</BillingCode><Name>i-Factor Flex &amp; Flex FR Peptide Enhanced Bone Graft – 25mm</Name><Description>P-15, ABM, Osteoinductive, Osteoconductive bone graft substitute</Description><Size>50mm x 25mm x 4mm, 100mm x 25mm x 4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>231653</ARTG><ARTG>176753</ARTG></ARTGs><MinimumBenefit>5700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC597</BillingCode><Name>Mastergraft</Name><Description>Calcium Phosphate Ceramic Granules</Description><Size>30cc Vial</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>96971</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF062</BillingCode><Name>Osteoflo G</Name><Description>Biphasic Calcium Phosphate</Description><Size>30cc Granules</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>185876</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST021</BillingCode><Name>Stryker Bone Substitute</Name><Description>Bonesave, Calcium Phosphate</Description><Size>40gms, sizes 2 - 4 and  4-6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>143522</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ008</BillingCode><Name>ReproBone</Name><Description>TCP/HA Synthetic Bone Graft Granules</Description><Size>21-30cc</Size><SupplierCode>PZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>231295</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW685</BillingCode><PriorBillingCodes><PriorBillingCode>WR011</PriorBillingCode></PriorBillingCodes><Name>Osteoset BVF Kit</Name><Description>Kit contains calcium sulfate, diluent, mould, spatula and mixing bowl</Description><Size>25cc only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>173515</ARTG><ARTG>173514</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM238</BillingCode><Name>HA/TCP Granules</Name><Description>HA/TCP Bone graft substitute Granules</Description><Size>25cc, 30cc</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK187</BillingCode><Name>VITOSS - Synthetic cancellous bone void filler</Name><Description>Beta-tricalcium phosphate</Description><Size>30cc morsels and 30cc dowels</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>140557</ARTG><ARTG>77710</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH771</BillingCode><Name>Reosrba Synthetic bone</Name><Description>60/40 HA/TCP bone graft substitute</Description><Size>30cc Granules</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4095</SubGroupID><ARTGs><ARTG>400446</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI004</BillingCode><Name>Bio-Oss</Name><Description>This bone block consists of anorganic bovine bone matrix sterilised by gamma-irradiation.  Bio-Oss is a natural bone mineral for filling of bone defects in maxillofacial surgery, implantology, and periodontology.</Description><Size>approx 1.4-1.6g, 2cc</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4111</SubGroupID><ARTGs><ARTG>229987</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI003</BillingCode><Name>Bio-Oss Bone Natural Bone Mineral</Name><Description>Derived from bovine bone</Description><Size>Granule size 1 - 2mm, 1.0gm (3cc)  Granule size 0.25 - 1mm, 2.0gm (4cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4111</SubGroupID><ARTGs><ARTG>229987</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI005</BillingCode><Name>Bio-Oss</Name><Description>Natural bone mineral derived from bovine bone</Description><Size>1 to 2mm; 2.0g (6cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4112</SubGroupID><ARTGs><ARTG>229987</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI017</BillingCode><Name>Bio-Oss Collagen</Name><Description>The product consists of Bio-Oss granules, embedded in 10% porcine collagen.  The collagen component is resorbed within a few weeks.  The properties of the Bio-Oss granules remain unchanged. Facilitates handling. </Description><Size>1 preformed block of cancellous-bone granulate and collagen, block size 100mg</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>229994</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW858</BillingCode><PriorBillingCodes><PriorBillingCode>WR326</PriorBillingCode></PriorBillingCodes><Name>Augment Injectable Bone Graft – β-TCP/bovine Type I collagen matrix</Name><Description>β-TCP/bovine Type I collagen matrix</Description><Size>1.5cc  3cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>231499</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI015</BillingCode><Name>Bio-Oss Collagen</Name><Description>The product consists of Bio-Oss granules, embedded in 10% porcine collagen.  The collagen component is resorbed within a few weeks.  The properties of the Bio-Oss granules remain unchanged. Facilitates handling. </Description><Size>1 preformed block of cancellous-bone granulate and collagen, block sizes 500mg</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>229994</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI016</BillingCode><Name>Bio-Oss Collagen</Name><Description>The product consists of Bio-Oss granules, embedded in 10% porcine collagen.  The collagen component is resorbed within a few weeks.  The properties of the Bio-Oss granules remain unchanged. Facilitates handling. </Description><Size>1 preformed block of cancellous-bone granulate and collagen, block size 250mg</Size><SupplierCode>GI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>229994</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI142</BillingCode><Name>Mastergraft</Name><Description>Mastergraft Putty</Description><Size>&gt;0cc-5cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>215319</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW664</BillingCode><Name>VITOSS Foam - Compression Resistant Synthetic Cancellous Bone Void Filler</Name><Description>Highly porous bone graft material made from beta-tricalcium phosphate (β-TCP) and Type I bovine collagen</Description><Size>0-5cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>322495</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC660</BillingCode><Name>Mastergraft</Name><Description>Matrix</Description><Size>5cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4114</SubGroupID><ARTGs><ARTG>283420</ARTG></ARTGs><MinimumBenefit>808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC663</BillingCode><Name>Mastergraft</Name><Description>Matrix</Description><Size>10cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4115</SubGroupID><ARTGs><ARTG>283420</ARTG></ARTGs><MinimumBenefit>1889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW665</BillingCode><Name>VITOSS Foam - Compression Resistant Synthetic Cancellous Bone Void Filler</Name><Description>Highly porous bone graft material made from beta-tricalcium phosphate (β-TCP) and Type I bovine collagen.</Description><Size>&gt;5cc - 10cc</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4115</SubGroupID><ARTGs><ARTG>322495</ARTG></ARTGs><MinimumBenefit>1889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI143</BillingCode><Name>Mastergraft</Name><Description>Mastergraft Putty</Description><Size>&gt;5cc-10cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4115</SubGroupID><ARTGs><ARTG>215319</ARTG></ARTGs><MinimumBenefit>1889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW375</BillingCode><Name>Howmedica Mainstay Soft Tissue Anchor</Name><Description>Zip anchor - Titanium</Description><Size>Sip 4.5 anchor with #5 suture and #2 suture 2 strands, zip 3.5 anchor with #2 suture and #0 suture 2 strands, zip 2.7 anchor with #0 suture</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>16234</ARTG><ARTG>139736</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VY004</BillingCode><Name>Apollo Suture Anchor No Suture</Name><Description>Suture Anchor No Suture</Description><Size>All sizes</Size><SupplierCode>VY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>370602</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM455</BillingCode><Name>VIMS ligament anchor, knotless</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm; 5.0mm; 5.5mm; 6.0mm; 7.0mm; 8.0mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK048</BillingCode><Name>Stryker Cuff Anchor</Name><Description>Titanium anchor kit for soft tissue reattachment</Description><Size>Length 5-8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>139736</ARTG><ARTG>78130</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ070</BillingCode><PriorBillingCodes><PriorBillingCode>LM491</PriorBillingCode></PriorBillingCodes><Name>Knotless Suture Anchors</Name><Description>Knotless Suture Anchors</Description><Size>Various sizes </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>364759</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV071</BillingCode><Name>Contour Meniscus Arrow</Name><Description>80L/20D, LPLA &amp; PLLA</Description><Size>1.1mm x 10, 13,16mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>139661</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW007</BillingCode><Name>Biotek ligament anchor, knotless</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU247</BillingCode><Name>Chondral Dart</Name><Description>Polylactide Compositition</Description><Size>Length 18mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>360372</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ688</BillingCode><Name>FiberStitch II</Name><Description>Double anchor, self tying device for all-inside meniscal repair</Description><Size>One size</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>328289</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF147</BillingCode><Name>S-Knot Anchor</Name><Description>All suture anchors</Description><Size>1.3 and 1.8mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ808</BillingCode><Name>Revolution Surgical All-Suture Anchor</Name><Description>All-Suture Anchor</Description><Size>2.8mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV115</BillingCode><Name>Sequent Meniscal Repair Device</Name><Description>The Sequent Meniscal Repair Device is pre-loaded with polyetheretherketone (PEEK) implants threaded onto one size #0 (3.5 metric) HiFi® suture.  The device sequentially deplos the implants and suture that are tightened down to create multiple stitches to create fixation points along a soft tissue tear</Description><Size>7 (5.1mm x 1.3mm Implants)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>MI</Suffix><ARTGs><ARTG>120427</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV125</BillingCode><Name>GENESYS PressFT Suture Anchor 2.1mm</Name><Description>The ConMed Linvatec GENESYS PressFT (biocomposite) Suture Anchors are manufactured from polylactide copolymer (96L/4D PLA co-polymer) and beta-tricalcium phosphate (B-TCp), and are provided sterile, preloaded on a single-use driver and pre-threaded with either one or two Hi-Fi Sutures</Description><Size>2.1mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>208881</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ575</BillingCode><Name>ICONIX Knotless</Name><Description>ICONIX Knotless Anchor</Description><Size>1.4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>406713</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ805</BillingCode><Name>Revolution Surgical AccurFix Meniscal Repair Device (Suture and Anchor)</Name><Description>Double anchor, self-tying device for all-inside meniscal repair</Description><Size>One size W: 1.3mm L: 5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421650</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU212</BillingCode><Name>FiberTak Suture Anchor</Name><Description>Suture anchor with 2 x #2 FibreWire CL or 1.3mm SutureTape</Description><Size>1.3mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ807</BillingCode><Name>Revolution Surgical All-Suture Anchor</Name><Description>All-Suture Anchor</Description><Size>1.3mm-1.8mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421632</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV119</BillingCode><Name>Y-Knot Suture Anchor</Name><Description>Y-Knot All Suture Anchor</Description><Size>1.3mm to 2.1mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ421</BillingCode><Name>MicroFix Anchor with Suture</Name><Description>Anchor with suture</Description><Size>Anchor with Suture and Multiple size needles</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>140549</ARTG><ARTG>161091</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ926</BillingCode><Name>MiniLok Anchor System</Name><Description>Suture Anchor</Description><Size>2.3mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154627</ARTG><ARTG>140353</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN906</BillingCode><Name>Smith and Nephew Small Absorbable Anchor</Name><Description>Absorbable suture anchor for repair and reattachment of the soft tissue</Description><Size>≤2.3mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>164727</ARTG><ARTG>204890</ARTG><ARTG>204889</ARTG><ARTG>164726</ARTG><ARTG>164725</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH360</BillingCode><Name>JuggerKnot/JuggerLoc Soft Anchor</Name><Description>Suture Anchor, Polyester, PE</Description><Size>1.0mm, 1.4mm,1.45mm, 1.5mm, 2.1mm, 2.3mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>208040</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK583</BillingCode><Name>Nanotack Suture Anchor</Name><Description>1.4mm High Strength PEEK suture anchor pre-loaded with suture and inserter for arthrosopic hip labral reattachment</Description><Size>1.4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>207253</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM162</BillingCode><Name>SPYROMITE</Name><Description>A non-absorbable polymer (PEEK) anchor for use in ligament/tendon reconstruction in small joint applications</Description><Size>2mm in diameter</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN330</BillingCode><Name>VERSALOOP Anchor System</Name><Description>All-Suture Anchor</Description><Size>1.5 mm, 1.8 mm, 1.5 mm XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>379270</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW542</BillingCode><Name>ICONiX Anchor</Name><Description>ICONiX Anchor soft-tissue fixation </Description><Size>1.4mm, 2.3mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ100</BillingCode><Name>Micro Quick Anchor </Name><Description>Titanium Suture Anchor</Description><Size>1.3 x 3.7mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>161092</ARTG><ARTG>136374</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL259</BillingCode><PriorBillingCodes><PriorBillingCode>SL160</PriorBillingCode></PriorBillingCodes><Name>Q-Fix All Suture Anchor  </Name><Description>Soft suture anchor, with MINITAPE and/or with Needle</Description><Size>1.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>428211</ARTG><ARTG>109451</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW583</BillingCode><Name>ICONiX w/ Needles</Name><Description>ICONiX w/ Needles Anchor for soft tissue fixation</Description><Size>1.4mm, 2.3mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW019</BillingCode><Name>Biotek Soft Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>Diameter 1.2mm - 2.00mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA107</BillingCode><Name>JuggerKnot Soft Anchor</Name><Description>Suture Anchor, Ultra-high molecular weight polyethylene (UHMWPE), Polyester</Description><Size>1.4mm, 1.45mm, 1.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>368790</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW014</BillingCode><Name>Biotek Ligament Anchor PEEK</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle</Description><Size>Diameter: 1.8mm - 2.00mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM146</BillingCode><Name>RAPTOR Anchor</Name><Description>Suture anchor for repair and reattachment of the soft tissue</Description><Size>≤2.3mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL260</BillingCode><PriorBillingCodes><PriorBillingCode>SL160</PriorBillingCode></PriorBillingCodes><Name>SUTUREFIX </Name><Description>All Suture Anchor</Description><Size>1.7mm and 1.9mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ089</BillingCode><Name>PEEK Suture Anchor</Name><Description>PEEK Suture Anchor</Description><Size>1.5mm, 2.3mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>352376</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU214</BillingCode><PriorBillingCodes><PriorBillingCode>DE697</PriorBillingCode></PriorBillingCodes><Name>Mini Hip SutureTak</Name><Description>Suture anchor</Description><Size>Diameter: 2mm  Length: 8.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU325</BillingCode><Name>DX Knotless FiberTak</Name><Description>Soft Tissue Fixation Anchor</Description><Size>2.4-3.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>384730</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU178</BillingCode><Name>All-Suture Anchor Size 1</Name><Description>Suture Anchor</Description><Size>Ø 1.4 and 1.8 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>330998</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ080</BillingCode><Name>PEEK Suture Anchor</Name><Description>PEEK Suture Anchor</Description><Size>1.5mm, 2.3mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>325207</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ112</BillingCode><PriorBillingCodes><PriorBillingCode>KH070</PriorBillingCode></PriorBillingCodes><Name>Rejoin JoinFix All Suture Anchor</Name><Description>Suture Anchor System</Description><Size>less than 2.4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU213</BillingCode><PriorBillingCodes><PriorBillingCode>DE654</PriorBillingCode></PriorBillingCodes><Name>Nano Corkscrew FT Suture Anchor</Name><Description>Suture Anchor</Description><Size>1.7mm x 5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV124</BillingCode><Name>PressFT PEEK Suture Anchor 2.1mm</Name><Description>The ConMed Linvatec PressFT Suture Anchors are manufactured from PEEK and are provided, preloaded on a single use driver and pre-threaded with either one or two Hi-Fi Sutures.</Description><Size>2.1mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV024</BillingCode><Name>Ultrafix MicroMite Small Joint Anchor</Name><Description>Suture Anchoring Device - Titanium</Description><Size>1.5mm predeployed diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ114</BillingCode><PriorBillingCodes><PriorBillingCode>KH069</PriorBillingCode></PriorBillingCodes><Name>Rejoin Peek Anchor</Name><Description>Suture Anchor System</Description><Size>less than 2.4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV005</BillingCode><Name>Ultrafix MiniMite StitchPak Suture Anchor</Name><Description>Soft Tissue Re-attachment - Stainless Steel</Description><Size>2.3mm predeployed diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU211</BillingCode><PriorBillingCodes><PriorBillingCode>DE430</PriorBillingCode></PriorBillingCodes><Name>Corkscrew Suture Anchor</Name><Description>Titanium alloy with Fibrewire suture</Description><Size>2.2mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV150</BillingCode><Name>Paradigm ClickLok Anchor</Name><Description> The Paradigm ClickLok Anchor (UHMWPE) is a High Strength Flat Braided Suture Anchor with Hi-Fi (UHMWPE) Braided Suture preloaded on Stainless Steel driver. It may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.   </Description><Size>1.8 mm all suture anchor</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ109</BillingCode><PriorBillingCodes><PriorBillingCode>KH065</PriorBillingCode></PriorBillingCodes><Name>Rejoin Healfix Suture Anchor</Name><Description>Suture Anchor System</Description><Size>Less than 2.4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ091</BillingCode><Name>Mini Quick Anchor with Suture</Name><Description>Anchor with Suture</Description><Size>Anchor with Suture and Multiple size needles</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>154626</ARTG><ARTG>136374</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM163</BillingCode><Name>DYNOMITE</Name><Description>A non-absorbable polymer (PEEK) anchor for use in ligament/tendon reconstruction in small joint applications</Description><Size>2mm in diameter</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL261</BillingCode><PriorBillingCodes><PriorBillingCode>SL160</PriorBillingCode></PriorBillingCodes><Name>Q-Fix All Suture Anchor  </Name><Description>Soft suture anchor  </Description><Size>1.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU026</BillingCode><PriorBillingCodes><PriorBillingCode>PF030</PriorBillingCode></PriorBillingCodes><Name>ARC Anchors</Name><Description>All Suture Anchor, multiple suture options</Description><Size>Small, Medium</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>336706</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW009</BillingCode><Name>Biotek Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>Diameter: 1.8mm - 2.00mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY417</BillingCode><Name>Titanium Wire, Barb and Needle</Name><Description>Titanium wire surture and needle with titanium alloy barb fixation</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>139010</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM467</BillingCode><Name>Soft Anchor</Name><Description>Soft Anchor</Description><Size>≤2.3mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>339014</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF030</BillingCode><Name>ARC Anchors</Name><Description>All Suture Anchor, multiple suture options</Description><Size>Small, Medium</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>308785</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM457</BillingCode><Name>VIMS Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>Diameter: 1.8mm - 2.00mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI969</BillingCode><Name>JuggerStitch</Name><Description>Meniscal Repair Device</Description><Size>one size</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>117747</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ067</BillingCode><PriorBillingCodes><PriorBillingCode>LM488</PriorBillingCode></PriorBillingCodes><Name>Fully Threaded Suture Anchor</Name><Description>Fully Threaded Suture Anchor</Description><Size>≤2.3mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>364759</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HV003</BillingCode><Name>OzAnchor All Suture</Name><Description>Anchor with suture</Description><Size>1.4mm</Size><SupplierCode>HV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>351431</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW634</BillingCode><Name>ICONiX Speed Anchor</Name><Description>All Suture</Description><Size>2.3mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ032</BillingCode><Name>Draw Tight Suture Anchors</Name><Description>Suture Anchor</Description><Size>1.8 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ048</BillingCode><PriorBillingCodes><PriorBillingCode>SV078</PriorBillingCode></PriorBillingCodes><Name>Parcus MiTi Titanium Screw In Suture Anchor -Small</Name><Description>Threaded, tapered fastener for use in attachment of soft tissue to bone. The device is made from a Titanium alloy, TI-6A1-4V.</Description><Size>2.0mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ305</BillingCode><Name>Fiberstitch RC</Name><Description>Fiberstitch All Suture Anchor</Description><Size>1.5mm, 1.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>328289</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ298</BillingCode><Name>Knee FiberTak Anchor Button preloaded with sutures</Name><Description>All suture Anchor preloaded with sutures</Description><Size>2.6</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU027</BillingCode><PriorBillingCodes><PriorBillingCode>PF029</PriorBillingCode></PriorBillingCodes><Name>ARC Anchors</Name><Description>All suture soft tissue anchor</Description><Size>Large</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>336706</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN907</BillingCode><Name>TWINFIX Ti</Name><Description>This is a titanium suture anchor for repair and reattachment of ligaments to bone in joint arthroscopy</Description><Size>2.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW004</BillingCode><Name>Biotek ligament anchor titanium</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm; 3.5mm;</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW020</BillingCode><Name>Biotek Soft Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>Diameter: 2.9mm </Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ089</BillingCode><Name>Mitek GII QuickAnchor Plus </Name><Description>Titanium Anchor, with various sutures</Description><Size>2.4 x 8.8mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>133430</ARTG><ARTG>140795</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH062</BillingCode><Name>Healfix Anchor System</Name><Description>Titanium Suture Anchor</Description><Size>2.4mm - 3.9mm</Size><SupplierCode>KH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU216</BillingCode><PriorBillingCodes><PriorBillingCode>DE225</PriorBillingCode></PriorBillingCodes><Name>Fastak Anchor</Name><Description>Titanium with fibrewire suture</Description><Size>2.8mm x 11.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ285</BillingCode><Name>FOOTPRINT MINI PEEK Suture Anchor</Name><Description>FOOTPRINT MINI PEEK Knotless Suture Anchor is pre-assembled on to an insertion device, supplied with ULTRATAPE Suture.
</Description><Size>3.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>428211</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU021</BillingCode><Name>Memofix</Name><Description>Threaded Titanium Suture Anchor</Description><Size>Diameter 3mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>288706</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ948</BillingCode><Name>Healix Anchor System</Name><Description>PEEK anchor with suture</Description><Size>3.4 mm anchor diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>196696</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW570</BillingCode><Name>CinchLock SS Flex Knotless Anchor</Name><Description>CinchLock SS Flex Knotless Anchor for soft tissue fixation</Description><Size>3mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN329</BillingCode><Name>GRYPHON PEEK Suture Anchor </Name><Description>Anchor with suture</Description><Size>3.0 x 10.7mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN903</BillingCode><Name>Minitac</Name><Description>This is a titanium suture anchor with needles for repair and reattachment of the ligaments in small joint arthroscopy</Description><Size>2.0mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ308</BillingCode><Name>Q-Fix All Suture Anchor</Name><Description>Soft suture anchor with Magnumwire</Description><Size>2.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF146</BillingCode><Name>S-Knot Suture Anchor</Name><Description>The S-Knot Suture Anchor is constructed from High Strength Flat Braided Suture threaded with either 2 or 3 #2 suture strands. The anchor may be inserted either by pre-punching using a 2.8mm bone punch or in the instance of softer bone and driven in using a mallet. Once the anchor is below the level of the cortical  bone the anchor is seated by pulling back on the sutures.</Description><Size>2.8mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU274</BillingCode><Name>Nano Swivelock Anchor</Name><Description>Soft Tissue Fixation Anchor</Description><Size>2.5mm x 7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU226</BillingCode><PriorBillingCodes><PriorBillingCode>DE559</PriorBillingCode></PriorBillingCodes><Name>Dx Swivelock SL</Name><Description>A knotless screw in Anchor used for Soft Tissue Fixation</Description><Size>3.5mm Diameter x 8.5mm length</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ085</BillingCode><Name>PEEK Suture Anchor</Name><Description>PEEK Suture Anchor</Description><Size>2.9mm, 3.5mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>352376</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ117</BillingCode><PriorBillingCodes><PriorBillingCode>KH066</PriorBillingCode></PriorBillingCodes><Name>Rejoin Rapidlink</Name><Description>Suture-Anchor Meniscus Repair Device</Description><Size>One Size</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU338</BillingCode><Name>Double Loaded Knotless Knee FiberTak  </Name><Description>Self-Punching non-bioabsorbable soft anchor</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>384730</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB008</BillingCode><Name>AIM-TEC MINI PK</Name><Description>Peek screw type suture anchor system</Description><Size>3mm</Size><SupplierCode>IB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>259865</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU362</BillingCode><Name>FiberLock Suspensionplasty</Name><Description>The FiberLock Suspension Implant Kit contains the FiberTak Anchor and devices for insertion for CMC arthritis.</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN902</BillingCode><Name>FAST-FIX 360</Name><Description>This is a double anchor, self tying device for all-inside meniscal repair</Description><Size>One size</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>120338</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU170</BillingCode><Name>Mectalock PEEK</Name><Description>Suture Anchor</Description><Size>2.4 - 3.4 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>320484</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU230</BillingCode><Name>SwiveLock Suture Anchor</Name><Description>Suture Anchor</Description><Size>3.5mm - 3.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU225</BillingCode><Name>FiberTak DR/ FiberTak RC/FiberTak Knotless</Name><Description>Suture Anchor</Description><Size>2.6mm&gt;</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU231</BillingCode><Name>SutureTak</Name><Description>Suture Anchor</Description><Size>2.4mm - 3.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU224</BillingCode><Name>Knotless Hip SutureTak</Name><Description>Knotless suture anchor for hip labral fixation</Description><Size>Diameter: 3mm  Length: 12.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU368</BillingCode><Name>Knotless FiberTak Biceps Implant</Name><Description>soft tissue fixation anchor </Description><Size>3mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV010</BillingCode><Name>Mini-Revo Screw</Name><Description>Soft Tissue Re-attachment - Titanium</Description><Size>2.7mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ115</BillingCode><PriorBillingCodes><PriorBillingCode>KH063</PriorBillingCode></PriorBillingCodes><Name>Rejoin Peek Anchor System</Name><Description>Suture Anchor System</Description><Size>2.4mm - 3.9mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU269</BillingCode><Name>BioComposite PushLock</Name><Description>BioComposite Pushlock Knotless Suture Anchor</Description><Size>2.4 - 3.5 mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>354973</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU217</BillingCode><PriorBillingCodes><PriorBillingCode>DE428</PriorBillingCode></PriorBillingCodes><Name>Corkscrew Suture Anchor</Name><Description>Titanium alloy with Fibrewire suture</Description><Size>3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU227</BillingCode><Name>Dx Swivelock</Name><Description>A knotless screw in anchor used for soft tissue fixation to bone</Description><Size>2.4 - 3.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ307</BillingCode><Name>Q-Fix All Suture Anchor</Name><Description>Soft suture anchor, with MINITAPE</Description><Size>2.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU318</BillingCode><Name>FiberTak </Name><Description>Self-Bunching Soft Anchor</Description><Size>2.6</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT034</BillingCode><PriorBillingCodes><PriorBillingCode>IT016</PriorBillingCode></PriorBillingCodes><Name>Anchor It</Name><Description>Fully threaded Titanium suture anchor with fibrewire suture</Description><Size>2.5mm - 3.5mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>271554</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU234</BillingCode><Name>Pushlock Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>2.5 - 3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU332</BillingCode><Name>SutureLoc Implant</Name><Description>Meniscal suture anchor</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>384730</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU307</BillingCode><Name>Dx FiberTak double loaded with 0.9mm SutureTape</Name><Description>Soft Tissue Fixation Device</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU215</BillingCode><PriorBillingCodes><PriorBillingCode>DE198</PriorBillingCode></PriorBillingCodes><Name>Fastak Suture Anchor (Small Bone)</Name><Description>With Fibrewire Suture</Description><Size>Dia. 2.4mm x Length 7.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU336</BillingCode><Name>Knotless FiberTak® Biceps</Name><Description>Non-Absorbable Soft Anchor</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV027</BillingCode><Name>Pre-Loaded Ultrafix RC Anchor</Name><Description>Surgical Grade Stainless Steel, preloaded with 2 #2 sutures</Description><Size>Dia 2.9mm, length 6.5mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JG014</BillingCode><Name>CanFIX Titanium Alloy Suture Anchor</Name><Description>Titanium Anchor with sutures, with or without needles</Description><Size>2.8mm, 3.5mm</Size><SupplierCode>JG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>411055</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW878</BillingCode><PriorBillingCodes><PriorBillingCode>WR348</PriorBillingCode></PriorBillingCodes><Name>Piton Knotless Fixation Implant System</Name><Description>System includes Piton Knotless anchors (single) NiTi and two Force Fiber sutures size #2 UHMWPE</Description><Size>Anchor: one size. Suture: size 2 in the system, options: blue/white or black/white</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>163843</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW559</BillingCode><Name>ICONiX TT Anchor</Name><Description>ICONiX TT Anchor soft-tissue fixation</Description><Size>1.4mm, 2.3mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW667</BillingCode><Name>Omega All-PEEK Knotless Anchor</Name><Description>Knotless Suture Anchor</Description><Size>3.9mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK584</BillingCode><Name>Pivot Anatomic Labrum Restoration Anchors</Name><Description>High Strength PEEK anchor pre-laoded with suture and inserter for arthroscopic hip labral reattachment</Description><Size>12mm x 2.4-2.8mm, 1.4-2.0mm, 2.8-3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>207253</ARTG><ARTG>232914</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA119</BillingCode><Name>JuggerLoc Bone-to-Bone</Name><Description>Ankle Syndesmosis Fixation Device</Description><Size>2.9mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>404670</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU270</BillingCode><Name>Biocomposite Swivelock Anchor</Name><Description>Knotless Suture Anchor</Description><Size>3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>354972</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV139</BillingCode><Name>Y-Knot RC &amp; Y-Knot Pro RC Suture Anchor</Name><Description>The Y-Knot RC All-Suture Anchor is constructed from High Strength Flat Braided Suture.</Description><Size>2.8mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA020</BillingCode><PriorBillingCodes><PriorBillingCode>ZA010</PriorBillingCode></PriorBillingCodes><Name>Quattro Anchor</Name><Description>Anchor manufactured from PEEK-OPTIMA polymer pre-assembled to stainless steel inserter.</Description><Size>2.9mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>209509</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH361</BillingCode><Name>JuggerKnot/JuggerLoc Soft Anchor</Name><Description>Suture Anchor, Polyester, PE</Description><Size>2.9mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>208040</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ081</BillingCode><Name>PEEK Suture Anchor</Name><Description>PEEK Suture Anchor</Description><Size>2.9mm, 3.5mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>325207</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ113</BillingCode><PriorBillingCodes><PriorBillingCode>KH064</PriorBillingCode></PriorBillingCodes><Name>Rejoin JoinFix All-Suture Anchor</Name><Description>Suture Anchor System</Description><Size>2.4mm - 3.9mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT037</BillingCode><Name>AnchorIT</Name><Description>Soft tissue anchor for reattachment of soft tissue to bone.</Description><Size>3.5 mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>405362</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ095</BillingCode><Name>Mitek Super Quick Anchor Plus </Name><Description>Titanium  Anchor, with various sutures</Description><Size>2.8 x 11.4mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>140796</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ641</BillingCode><Name>Knotless FiberTak Soft Anchor</Name><Description>Suture Anchor, Polyester </Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU179</BillingCode><Name>All-Suture Anchor Size 2</Name><Description>Suture Anchor</Description><Size>Ø 2.4 and 2.8 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>330998</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ267</BillingCode><Name>GRYPHON BR PROKNOT</Name><Description>Biocryl Rapide anchor with Permacord suture
</Description><Size>3.00</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>257872</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF077</BillingCode><Name>Signature Vector™ Anchor</Name><Description>These are an hydroxyapatite incorporated absorbable suture anchor for repair and
reattachment of the labrum in shoulder and hip arthroscopy.</Description><Size>2.9mm, 3.2mm, 3.5mm and 3.7mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL155</BillingCode><Name>RAPTOR Anchor - Absorbable</Name><Description>Absorbable suture anchor for repair and reattachment of the soft tissue</Description><Size>2.4 – 3.9mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>169170</ARTG><ARTG>164726</ARTG><ARTG>164725</ARTG><ARTG>348730</ARTG><ARTG>161696</ARTG><ARTG>164727</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ928</BillingCode><Name>Bioknotless Anchor System</Name><Description>Suture Anchor</Description><Size>3.9mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154630</ARTG><ARTG>154629</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN340</BillingCode><Name>GRYPHON BR Instability Anchor</Name><Description>Suture Anchor</Description><Size>3.0 x 10.7mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>388083</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ945</BillingCode><Name>GRYPHON BR Instability Anchor</Name><Description>Suture Anchor</Description><Size>2.4-3.0mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>165434</ARTG><ARTG>165465</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF129</BillingCode><Name>FAA Anchor</Name><Description>These are PLA/TCP absorbable anchor with suture for repair and reattachment of the labrum in shoulder and hip arthroscopy.</Description><Size>2.4mm, 3.0mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN171</BillingCode><Name>Lupine Anchor System</Name><Description>Suture Anchor</Description><Size>3.9mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154628</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ054</BillingCode><Name>Parcus AP knotless</Name><Description>AP knotless push in anchors</Description><Size>2.8, mm Anchors</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>375791</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV126</BillingCode><Name>GENESYS PressFT Suture Anchor 2.6mm</Name><Description>The ConMed Linvatec GENESYS PressFT (biocomposite) Suture Anchors are manufactured from polylactide copolymer (96L/4D PLA co-polymer) and beta-tricalcium phosphate (B-TCp), and are provided sterile, preloaded on a single-use driver and pre-threaded with either one or two Hi-Fi Sutures</Description><Size>2.6mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>208881</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU248</BillingCode><Name>BioComposite SutureTak</Name><Description>Suture Anchor</Description><Size>2.4 – 3mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>354970</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU250</BillingCode><PriorBillingCodes><PriorBillingCode>DE706</PriorBillingCode></PriorBillingCodes><Name>FiberStitch</Name><Description>Meniscal suture anchor</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>328289</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ809</BillingCode><Name>Revolution Surgical ExtraLock Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>3.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ820</BillingCode><Name>Revolution Surgical TapScrew Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>3.0mm and 3.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV123</BillingCode><Name>Press FT PEEK Suture Anchor</Name><Description>Press FT PEEK Suture Anchor - preloaded on a single driver</Description><Size>2.6mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA115</BillingCode><Name>Betta Link Knotless Anchor</Name><Description>Knotless Anchor manufactured from PEEK-OPTIMA polymer pre-assembled to stainless steel inserter. Provided as a single-use sterile device.</Description><Size>3.2mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>387052</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI968</BillingCode><Name>ToggleLoc</Name><Description>Femoral Fixation Device</Description><Size>15mm-60mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>116765</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ813</BillingCode><Name>Revolution Surgical FixTree Suture Anchor</Name><Description>Suture Anchor</Description><Size>2.5mm and 3.0mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN854</BillingCode><Name>Fast-Fix Ultra</Name><Description>Meniscal suture anchor</Description><Size>One Size</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>120338</ARTG><ARTG>154955</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW841</BillingCode><PriorBillingCodes><PriorBillingCode>WR302</PriorBillingCode></PriorBillingCodes><Name>GRAVITY</Name><Description>Titanium Suture Anchor System</Description><Size>2.7mm - 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>175633</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW005</BillingCode><Name>Biotek ligament anchor PEEK</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm; 3.0mm; 3.5mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF029</BillingCode><Name>ARC Anchors</Name><Description>All suture soft tissue anchor</Description><Size>Large</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>308785</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HV004</BillingCode><Name>OzAnchor All Suture</Name><Description>Anchor with suture</Description><Size>2.5mm</Size><SupplierCode>HV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>351431</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ068</BillingCode><PriorBillingCodes><PriorBillingCode>LM489</PriorBillingCode></PriorBillingCodes><Name>Fully Threaded Suture Anchor </Name><Description>Fully Threaded Suture Anchor </Description><Size>2.4-3.9mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>364759</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ266</BillingCode><Name>Q-FIX ULTRA All Suture Anchor</Name><Description>Soft suture anchor</Description><Size>2.8mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>428211</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM453</BillingCode><Name>VIMS ligament anchor PEEK</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm; 3.0mm; 3.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM468</BillingCode><Name>Soft Anchor</Name><Description>Soft Anchor</Description><Size>2.4 – 3.9mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>339014</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL056</BillingCode><Name>ArthRoCare Anchor System</Name><Description>Anchor fixating soft tissue to bone</Description><Size>2.8 - 3.4mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW639</BillingCode><Name>AIR+ Meniscus System</Name><Description>All Inside Meniscal Device System</Description><Size>2.4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA108</BillingCode><Name>JuggerKnot Soft Anchor</Name><Description>Suture Anchor, Ultra-high molecular weight polyethylene (UHMWPE), Polyester</Description><Size>2.9mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>368790</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ038</BillingCode><PriorBillingCodes><PriorBillingCode>PJ029</PriorBillingCode></PriorBillingCodes><Name>Draw tight</Name><Description>Draw tight suture based anchor with two suture tapes.  Recommended for use in both large and small joint repairs.</Description><Size>3.2</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ047</BillingCode><PriorBillingCodes><PriorBillingCode>SV077</PriorBillingCode></PriorBillingCodes><Name>Parcus MiTi Titanium Screw In Suture Anchor - Medium and XL</Name><Description>Threaded, tapered fastener for attachment of soft tissue to bone. The device is made from a Titanium Alloy, Ti-6A1-4V.</Description><Size>2.5mm  3.5mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ301</BillingCode><Name>Knee FiberTak Anchor, Hybrid preloaded with sutures</Name><Description>All Suture Anchor preloaded with sutures</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ030</BillingCode><Name>Knotless PEEK CF Suture Anchors</Name><Description>Suture Anchor, PEEK CF</Description><Size>2.8mm   3.5mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ053</BillingCode><Name>Parcus Knotless PEEK push in  suture anchor</Name><Description>Knotless PEEK push in suture anchors w/suture passer</Description><Size>2.8mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW555</BillingCode><Name>TwinLoop FLEX Anchor</Name><Description>TwinLoop FLEX Anchor</Description><Size>3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VY001</BillingCode><Name>Bonecam Suture Anchors with Suture</Name><Description>Suture Anchors with Suture</Description><Size>2.4 - 3.9mm </Size><SupplierCode>VY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>370602</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ692</BillingCode><Name>Knotless Hip SutureTak</Name><Description>Knotless PEEK anchor suture for arthroscopic hip labral repair</Description><Size>2.4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB066</BillingCode><Name>Full Thread Suture Anchor</Name><Description>Suture Anchor</Description><Size>2.4mm - 3.9mm </Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>323905</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ025</BillingCode><Name>Parcus Series 3 Peek CF Suture Anchor</Name><Description>Knotless push in Anchor with 2 sutures and suture passer.</Description><Size>3.5mm diameter</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW939</BillingCode><PriorBillingCodes><PriorBillingCode>WR426</PriorBillingCode></PriorBillingCodes><Name>Piton 2.8mm</Name><Description>Soft Tissue Fixation Implant</Description><Size>2.8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>163843</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB071</BillingCode><Name>Peek Suture Anchor</Name><Description>Non-absorbable suture anchor</Description><Size>2.4mm - 3.9mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>323905</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ037</BillingCode><PriorBillingCodes><PriorBillingCode>PJ029</PriorBillingCode></PriorBillingCodes><Name>Draw tight, </Name><Description>Push in anchors suture based. Recommended for use in both large and small repairs. with two sutures </Description><Size>3.2 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN334</BillingCode><Name>VERSALOOP Anchor System</Name><Description>All-Suture Anchor</Description><Size>2.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>379270</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ300</BillingCode><Name>Knee FiberTak Anchor Internal Brace preloaded with sutures</Name><Description>All Suture Anchor preloaded with sutures</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL183</BillingCode><Name>MICRORAPTOR Knotless REGENESORB</Name><Description>Knotless Suture Anchor, absorbable</Description><Size>2.4 – 2.75mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>368071</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN909</BillingCode><Name>RAPTOR Anchor</Name><Description>Suture anchor for repair and reattachment of the soft tissue</Description><Size>2.4 – 3.9mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN372</BillingCode><Name>GRYPHON PEEK Instability Anchor</Name><Description>PEEK Anchor with PERMACORD suture</Description><Size>3.0 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>133430</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL061</BillingCode><Name>Speedlock HIP Knotless Fixation Implant</Name><Description>PEEK knotless suture anchor implant for fixation of soft tissue to bone in the hip</Description><Size>3.4mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW548</BillingCode><Name>Knotilus Anchor</Name><Description>Knotilus Anchor Soft Tissue Fixation </Description><Size>Knotilus Anchor, 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>229722</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ299</BillingCode><Name>Knee FiberTak Anchor Double Loaded preloaded with sutures</Name><Description>All Suture Anchor preloaded with sutures</Description><Size>2.6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM452</BillingCode><Name>VIMS ligament anchor titanium</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 2.8mm; 3.5mm;</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW935</BillingCode><PriorBillingCodes><PriorBillingCode>WR422</PriorBillingCode></PriorBillingCodes><Name>Insite FT PEEK Knotless Suture Anchor</Name><Description>PEEK knotless suture anchor, fully threaded</Description><Size>4.5mm to 6.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>163843</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM177</BillingCode><Name>RAPTORMITE 3.0 PK</Name><Description>An non-absorbable polymer (PEEK) suture anchor for use in ligament/tendon reconstruction</Description><Size>3mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA072</BillingCode><Name>Ventix Anchor</Name><Description>soft tissue anchor</Description><Size>4.75mm and 5.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>349650</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW840</BillingCode><PriorBillingCodes><PriorBillingCode>WR299</PriorBillingCode></PriorBillingCodes><Name>GRAVITY</Name><Description>Titanium Suture Anchor System</Description><Size>5.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>175633</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK176</BillingCode><Name>Stryker Cuff Anchor</Name><Description>Bio Zip PLLA anchor for soft tissue ligament/tendon fixation</Description><Size>Dia 3 - 8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>152291</ARTG><ARTG>151656</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA088</BillingCode><Name>Genie PEEK Anchors/Fix2Lock Anchors PEEK</Name><Description>Knotless anchor manufactured from PEEK. Provided as a single use device</Description><Size>4.5mm &amp; 5.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>354952</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU232</BillingCode><Name>Swivelock</Name><Description>Twist-in knotless suture anchor</Description><Size>≥4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU252</BillingCode><Name>BioComposite PushLock</Name><Description>Knotless Suture Anchor</Description><Size>4.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>354973</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV143</BillingCode><Name>TenoLok</Name><Description>Soft tissue anchor with or without suture</Description><Size>5.0mm and 6.0mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ110</BillingCode><PriorBillingCodes><PriorBillingCode>KH071</PriorBillingCode></PriorBillingCodes><Name>Rejoin HealFix Suture Anchor</Name><Description>Suture Anchor System</Description><Size>Greater than 4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA011</BillingCode><Name>Quattro X Suture Anchor</Name><Description>Suture Anchor with sutures, manufactured from PEEK-OPTIMA polymer pre assembled to stainless stell inserter. Provided as a single-use sterile device.</Description><Size>5.5mm and 6.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>209509</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU233</BillingCode><PriorBillingCodes><PriorBillingCode>DE434</PriorBillingCode></PriorBillingCodes><Name>Pushlock Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>4.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU251</BillingCode><Name>BioComposite SwiveLock</Name><Description>BC SwiveLock</Description><Size>&gt;4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>354972</ARTG><ARTG>354974</ARTG><ARTG>354975</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU221</BillingCode><PriorBillingCodes><PriorBillingCode>DE707</PriorBillingCode></PriorBillingCodes><Name>TightRope Implant with FiberTag Suture</Name><Description>TightRope implant pre-loaded with FiberTag suture</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF184</BillingCode><Name>Bondi</Name><Description>Twist-in knotless Suture Anchor</Description><Size>4.75mm, 5.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU174</BillingCode><Name>MectaTap Ti</Name><Description>Suture Anchor</Description><Size>Ø 5 - 6.5</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>324941</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VY002</BillingCode><PriorBillingCodes><PriorBillingCode>LM387</PriorBillingCode></PriorBillingCodes><Name>Suture Anchors with Suture</Name><Description>Suture Anchors with Suture</Description><Size>4.0mm or larger</Size><SupplierCode>VY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>324214</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ041</BillingCode><PriorBillingCodes><PriorBillingCode>SV041</PriorBillingCode></PriorBillingCodes><Name>V-Lox PEEK CF Suture Anchors</Name><Description>PEEK CF Fully Threaded Suture Anchor</Description><Size>4.5m; 5.5mm; 6.5mm,</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL182</BillingCode><Name>HEALICOIL Knotless REGENESORB</Name><Description>Absorbable Suture Anchors</Description><Size>5.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>382150</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF148</BillingCode><Name>Dynaloc Shoulder Anchor</Name><Description>PEEK Optima Shoulder Anchor</Description><Size>4.5, 5.5, 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN211</BillingCode><Name>Truespan meniscal repair system</Name><Description>Pre-loaded Peek backstops and ORTHOCORD suture</Description><Size>0 to 24 degree</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>292990</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ819</BillingCode><Name>Revolution Surgical StarScrew Suture Anchor</Name><Description>Non-absorbable suture anchor</Description><Size>4.5mm and 5.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN652</BillingCode><Name>OBL Anchor System </Name><Description>Soft Tissue Anchor System Non-preloaded Material:  Titanium Alloy</Description><Size>4.0 and 6.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL055</BillingCode><Name>ArthroCare Anchor System</Name><Description>Anchor fixating soft tissue to bone</Description><Size>4.5,5.5mm &amp; 6.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ811</BillingCode><Name>Revolution Surgical FastLock Suture Anchor</Name><Description>Non-absorbable suture anchor</Description><Size>4.5mm and 5.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI114</BillingCode><Name>AClip Femoral</Name><Description>Ligament or tendon anchoring device</Description><Size>One size only</Size><SupplierCode>LI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>294174</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA121</BillingCode><Name>ComposiTCP Double Loaded Suture Anchors</Name><Description>Threaded anchor system made of DUOSORB® 30 (β-TCP 30%/ PLDLLA 70%) a composite, absorbable material.</Description><Size>4.5mm, 5.5mm, 6.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>424491</ARTG><ARTG>424492</ARTG><ARTG>424490</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ271</BillingCode><Name>HEALIX ADVANCE Knotless Anchor System</Name><Description>Biocryl Rapid anchor with ORTHOCORD suture</Description><Size>Anchor diameter: 4.75 mm; 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>330848</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ270</BillingCode><Name>HEALIX ADVANCE Anchor System</Name><Description>Biocryl Rapide anchor with ORTHOCORD suture and needle</Description><Size>Anchor diameter: 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>205024</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ269</BillingCode><Name>HEALIX ADVANCE Anchor System</Name><Description>Biocryl Rapide anchor with ORTHOCORD suture</Description><Size>Anchor diameter: 4.5 mm; 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>205025</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ163</BillingCode><Name>TRUESPAN Meniscal Repair System Absorbable</Name><Description>Preloaded PLGA backstops and ORTHOCORD suture</Description><Size>0, 12, 24 degree Needle</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>425610</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN246</BillingCode><Name>HEALIX Anchor System</Name><Description>PEEK anchor with Dynacord suture</Description><Size>4.5 - 6.5mm anchor diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB007</BillingCode><Name>AIM-TEC PRIM PK</Name><Description>Peek screw type suture anchor system</Description><Size>5mm, 6.5mm</Size><SupplierCode>IB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>259865</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA066</BillingCode><Name>Allthread Anchors</Name><Description>suture anchors</Description><Size>4.5-6.8mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>117747</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU236</BillingCode><Name>Corkscrew Suture Anchor</Name><Description>Non Absorbable Suture Anchor</Description><Size>&gt;4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV090</BillingCode><Name>Super Revo Suture Anchor with Hi-Fi Suture</Name><Description>Titanium Suture Anchor</Description><Size>5.0mm O.D x 14.2mm L</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL046</BillingCode><Name>Healicoil Regenesorb</Name><Description>HEALICOIL REGENESORB Suture Anchor</Description><Size>4.75mm and 5.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>276921</ARTG><ARTG>231879</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN257</BillingCode><Name>HEALIX Anchor System</Name><Description>Biocryl Rapide anchor with Dynacord suture</Description><Size>4.5-6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>330847</ARTG><ARTG>330845</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV122</BillingCode><Name>Sequent Meniscal Repair Device - 3 Implant</Name><Description>The Sequential Meniscal Repair Device is pre-loaded with polyetheretheketone (PEEK) implants threaded onto one size #0 (3.5 metric) HiFi suture.</Description><Size>5.1mm x 1.3mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>120427</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV114</BillingCode><Name>Super Revo-FT,ThRevo-FT</Name><Description>Fully Threaded Suture Anchor pre-threaded with two or three sutures with or without needles</Description><Size>5mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV112</BillingCode><Name>CrossFT Suture Anchor</Name><Description>PEEK Optima Suture Anchor with multiple sutures with or without needles</Description><Size>4.5mm, 5.5mm &amp; 6.5mm diameters</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT033</BillingCode><PriorBillingCodes><PriorBillingCode>IT016</PriorBillingCode></PriorBillingCodes><Name>Anchor It 5mm</Name><Description>Fully threaded suture anchor with fibrewire suture</Description><Size>5mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>271554</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO408</BillingCode><Name>Acu-Sinch Repair System</Name><Description>This is a suture-and-anchor soft tissue repair system designed to complement the Acumed Clavicle Plating system by treating coracoclavicular ligament repair injuries associated with clavicle fractures and is used in conjuction midshaft or distal clavicle plate. All Acu-Sinch kits come in a sterile procedure pack.</Description><Size>Titanium Anchor: D=5.5mm, L=12mm
Titanium Suture Retainer: L=5.3mm, W=4mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>45062</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV113</BillingCode><Name>PopLok Suture Anchor</Name><Description>PEEK Optima Suture Anchor with or without sutures</Description><Size>2.8mm, 3.3mm, 3.5mm &amp; 4.5mm diameters</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV151</BillingCode><Name>Argo Knotless PEEK NSP Anchor</Name><Description>The CONMED Argo KnotlessTM Anchors are manufactured from PolyEtherEtherKetone (PEEK). Non-self-punching products include tips manufactured from PEEK. The anchors are provided sterile, preloaded on a single-use driver and pre-threaded with one Hi-Fi® Ribbon. It may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.</Description><Size>4.75mm, 5.5mm PEEK NSP suture anchors</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>376571</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU220</BillingCode><PriorBillingCodes><PriorBillingCode>DE688</PriorBillingCode></PriorBillingCodes><Name>Cinch II</Name><Description>Meniscal anchor</Description><Size>L: 5.3mm   D: 1.1 mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV153</BillingCode><Name>Infinity AIM</Name><Description>The Infinity AIM™ is an implantable suture retention device which facilitates percutaneous or endoscopic repair of meniscal tears. The Infinity AIM™ is composed of two (2) polyetheretherketone (PEEK) implants and a strand of #2-0 ultra-high molecular weight polyethylene (UHMWPE) Hi-Fi® suture, blue in color, from solid blue DSM fiber (Cr-Co-Al Oxidecolorant).  </Description><Size>Infinity AIM™, KMR2R - 15° Reverse with two 5mm polyetheretherketone (PEEK) implants and a strand of #2-0 ultra-high molecular weight polyethylene (UHMWPE) Hi-Fi® suture between them        Infinity AIM™ KMR2S 25° Curved with two 5mm polyetheretherketone (PEEK) implants and a strand of #2-0 ultra-high molecular weight polyethylene (UHMWPE) Hi-Fi® suture between them  </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV116</BillingCode><Name>Sequent Meniscal Repair Device</Name><Description>The Sequent Meniscal Repair Device is pre-loaded with polyetheretherketone (PEEK) implants threaded onto one size #0 (3.5 metric) HiFi® suture.  The device sequentially deplos the implants and suture that are tightened down to create multiple stitches to create fixation points along a soft tissue tear</Description><Size>4 (5.1mm  x 1.3mm Implants</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>120427</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU229</BillingCode><PriorBillingCodes><PriorBillingCode>DE474</PriorBillingCode></PriorBillingCodes><Name>Achilles Speedbridge Convenience Pack</Name><Description>Disposable convenience pack for Achilles Insertional Tendonopathy</Description><Size>one size</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV091</BillingCode><Name>ThRevo Suture Anchor</Name><Description>Titanium screw-in suture anchor</Description><Size>5.0mm OD x 14.2mm L</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV145</BillingCode><Name>CrossFt Knotless DT</Name><Description>Screw in knotless anchor</Description><Size>4.0mm CrossFT Knotless Anchor  4.0mm CrossFT Knotless Anchor (w/ 1 blue Hi-Fi tape)  4.0mm CrossFT Knotless Anchor (w/ 1 white/black Hi-Fi tape)  4.75mm CrossFT Knotless Anchor   4.75mm CrossFT Knotless Anchor (w/ 1 blue Hi-Fi tape)  4.75mm CrossFT Knotless Anchor (w/ 1 white/black Hi-Fi tape)  5.5mm CrossFT Knotless Anchor   5.5mm CrossFT Knotless Anchor (w/ 1 blue Hi-Fi tape)  5.5mm CrossFT Knotless Anchor (w/ 1 white/black Hi-Fi tape)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU235</BillingCode><Name>Corkscrew FT</Name><Description>Suture Anchor with Fiberwire</Description><Size>4mm - 6.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV117</BillingCode><Name>CrossFT Suture Anchor Polyester</Name><Description>PEEK Optima Suture Anchor with Multiple Polyester Sutures</Description><Size>4.5mm, 5.5mm and 6.5mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ116</BillingCode><PriorBillingCodes><PriorBillingCode>KH072</PriorBillingCode></PriorBillingCodes><Name>Rejoin Peek Suture Anchor</Name><Description>Suture Anchor System</Description><Size>Greater than 4.0mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ277</BillingCode><Name>HEALIX ADVANCE Knotless Anchor System</Name><Description>PEEK anchor with ORTHOCORD suture</Description><Size>Anchor diameter: 4.75 mm; 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>330849</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ276</BillingCode><Name>Healix  Anchor System</Name><Description>PEEK anchor with ORTHOCORD suture and needle</Description><Size>Anchor diameter: 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>205026</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ275</BillingCode><Name>Healix  Anchor System</Name><Description>PEEK anchor with ORTHOCORD suture</Description><Size>Anchor diameter: 4.5 mm; 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>205027</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ274</BillingCode><Name>Healix  Anchor System</Name><Description>PEEK anchor with PERMATAPE suture (Blue or While/Blue)</Description><Size>Anchor diameter: 4.5 mm; 5.5 mm; 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN703</BillingCode><Name>TWINFIX ULTRA - Absorbable Suture Anchor</Name><Description>Preloaded Absorbable HA Suture Anchor (combines PLLA with HA)</Description><Size>4.5 mm to 6.5 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>181413</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF079</BillingCode><Name>Carbine CF Anchor</Name><Description>These are CF PEEK suture anchor for repair and reattachment of the soft tissue in the
shoulder.</Description><Size>4.5mm, 5.5mm and 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU173</BillingCode><Name>Mectalock Ti</Name><Description> Suture Anchor</Description><Size>Ø 5 - 6.5</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>324941</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN245</BillingCode><Name>HEALIX Anchor System</Name><Description>Biocryl Rapide anchor with Permatape suture</Description><Size>4.5-6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>311080</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW028</BillingCode><Name>BIO-VIM Bioabsorbable Ligament Anchor</Name><Description>Bioabsorbable Ligament Anchor</Description><Size>Diameter (mm) 4.5 - 5.5</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>393985</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF076</BillingCode><Name>Signature Vortex™ Anchor</Name><Description>These are an hydroxyapatite incorporated PEEK suture anchor for repair and reattachment of
the soft tissue in the shoulder.</Description><Size>4.5mm, 5.5mm and 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV118</BillingCode><Name>Genesys CrossFT</Name><Description>Micro TCP Soft Tissue Suture Anchor with multiple sutures with or without needles</Description><Size>4.5mm, 5.5mm, 6.5mm diameters</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>194022</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW010</BillingCode><Name>Biotek Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>4.50mm - 8.00mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU273</BillingCode><Name>BioComposite Corkscrew Suture Anchor</Name><Description>Suture Anchor</Description><Size>&gt;4mm-6.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>354971</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT022</BillingCode><Name>Loop It</Name><Description>Titanium or stainless steel fixation device with non-absorbable fibrewire suture material</Description><Size>One Size Only</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>297561</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ810</BillingCode><Name>Revolution Surgical ExtraLock Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>4.5mm - 9.0mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN325</BillingCode><Name>HEALIX Anchor System </Name><Description>Self-Punching Biocomposite Anchor</Description><Size>4.9 mm, 5.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>382170</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY577</BillingCode><Name>Healix Anchor System</Name><Description>Titanium anchor with suture</Description><Size>4.5 - 6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>133430</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW006</BillingCode><Name>Biotek large ligament anchor titanium</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 5.0mm; 5.5mm; 6.5mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN651</BillingCode><Name>OBL Anchor System</Name><Description>Preloaded Soft Tissue Anchor System Material: Titanium Alloy or Polyacetal Polymer. Comes with Insertion device and 2 Braided Polyester Sutures</Description><Size>Anchor sizes - Titanium: 2.8, 3.5, 4.0 5.0, 6.5mm Anchor size - Polymer: 5.0mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL258</BillingCode><PriorBillingCodes><PriorBillingCode>SL162</PriorBillingCode></PriorBillingCodes><Name>HEALICOIL</Name><Description>HEALICOIL PEEK Suture Anchor with and without needles</Description><Size>4.5mm; 5.0mm and 5.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>120338</ARTG><ARTG>428211</ARTG><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL257</BillingCode><PriorBillingCodes><PriorBillingCode>SL162</PriorBillingCode></PriorBillingCodes><Name>FOOTPRINT</Name><Description>FOOTPRINT PEEK Suture Anchor</Description><Size>4.5mm to 6.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM147</BillingCode><Name>Twinfix PK</Name><Description>PEEK Optima fully threaded suture anchor</Description><Size>4.5mm 5.5mm and 6.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ097</BillingCode><Name>Fastin Anchor System</Name><Description>Suture Anchor</Description><Size>5 - 6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>133430</ARTG><ARTG>152661</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM179</BillingCode><Name>TWINFIX Ti</Name><Description>This is a titanium suture anchor for repair and reattachment of ligaments to bone in joint arthroscopy</Description><Size>4.5mm, 5.5mm, 6.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM454</BillingCode><Name>VIMS large ligament anchor titanium</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 5.0mm; 5.5mm; 6.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF103</BillingCode><Name>Galileo Anchor</Name><Description>PEEK Anchor with sutures, with or without needles.</Description><Size>4.0mm, 4.5mm diameters</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA021</BillingCode><PriorBillingCodes><PriorBillingCode>ZA010</PriorBillingCode></PriorBillingCodes><Name>Quattro Link Knotless Anchor</Name><Description>Knotless Anchor manufactured from PEEK-OPTIMA polymer pre-assembled to stainless steel inserter. Provided as a single-use sterile device.</Description><Size>4.5mm and 5.5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>209509</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN331</BillingCode><Name>HEALIX ADVANCE™ Anchor with DYNATAPE™ Suture</Name><Description>PEEK anchor with DYNATAPE suture and DYNACORD suture</Description><Size>4.5-6.5mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV152</BillingCode><Name>Argo Knotless PEEK SP Anchor</Name><Description>The CONMED Argo KnotlessTM Anchors are manufactured from PolyEtherEtherKetone (PEEK). Self-punching products include tips manufactured from Titanium. The anchors are provided sterile, preloaded on a single-use driver and pre-threaded with one Hi-Fi® Ribbon. It may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.</Description><Size>4.75mm, 5.5mm PEEK suture anchors with Ti self-punching tip  </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>376571</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU319</BillingCode><Name>ACL Repair TightRope</Name><Description>Knotless tensionable system pre-loaded with FiberTape for ACL Repair. The kit includes the button/ anchor with the construct.</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>383904</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JG015</BillingCode><Name>CanFIX Titanium Alloy Suture Anchor</Name><Description>Titanium Anchor with sutures, with or without needles.</Description><Size>4.5mm, 5.0mm, 5.5mm and 6.5mm</Size><SupplierCode>JG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>411055</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV009</BillingCode><Name>Revo Cancellous Screw</Name><Description>Soft Tissue Re-attachment - Titanium</Description><Size>4mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HV005</BillingCode><Name>OzAnchor Knotless PEEK</Name><Description>PEEK Suture Anchor</Description><Size>4.5mm</Size><SupplierCode>HV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>351629</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM456</BillingCode><Name>VIMS large suture anchor PEEK</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 5.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW891</BillingCode><PriorBillingCodes><PriorBillingCode>WR364</PriorBillingCode></PriorBillingCodes><Name>Insite FT anchors</Name><Description>Bone anchors Ti or PEEK, preloaded with suture with or without needle.</Description><Size>4.5mm, 5.5mm or 6.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>163843</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW666</BillingCode><Name>Omega All-PEEK Knotless Anchor</Name><Description>Knotless Suture Anchor</Description><Size>4.75mm to 7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV023</BillingCode><Name>AlphaVent</Name><Description>Suture Anchor</Description><Size>4.75mm, 5.50mm, 6.50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ069</BillingCode><PriorBillingCodes><PriorBillingCode>LM490</PriorBillingCode></PriorBillingCodes><Name>Fully Threaded Suture Anchor </Name><Description>Fully Threaded Suture Anchor </Description><Size>≥4mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>364759</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW638</BillingCode><Name>NanoTack TT Anchor</Name><Description>NanoTack TT Anchor with tape</Description><Size>1.4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW553</BillingCode><Name>PEEK Zip Anchor</Name><Description>PEEK Zip Anchor</Description><Size>5.5mm, 6.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW552</BillingCode><Name>PEEK Intraline Suture Anchor</Name><Description>PEEK Intraline Suture Anchor</Description><Size>5.5mm, 6.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW556</BillingCode><Name>Titanium Intraline Anchor</Name><Description>Titanium Intraline Anchor</Description><Size>5.5mm, 6.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM458</BillingCode><Name>VIMS Ligament Anchor</Name><Description>Soft tissue ligament anchor loaded with UHMWPE fiber and needle </Description><Size>4.50mm - 8.00mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>338393</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA123</BillingCode><Name>GENIE Biocomposite/PEEK Suture Anchor</Name><Description>Biocomposite/PEEK suture anchor</Description><Size>4.5 - 5.5 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>412791</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ036</BillingCode><PriorBillingCodes><PriorBillingCode>SV040</PriorBillingCode></PriorBillingCodes><Name>V-Lox Titanium Suture Anchors</Name><Description>Titanium Fully Threaded Suture Anchor</Description><Size>4.5mm; 5.0mm; 5.5mm; 6.5mm, double loaded and triple loaded suture anchors</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ046</BillingCode><PriorBillingCodes><PriorBillingCode>PJ034</PriorBillingCode></PriorBillingCodes><Name>SLik Fix</Name><Description>Screw in system recomended for teh use in both large and small joint repairs made from PEEK carbon fiber</Description><Size>7mm, 8mm, 9mm </Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB072</BillingCode><Name>Peek Suture Anchor</Name><Description>Peek suture anchor</Description><Size>Great than 4mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>323905</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ031</BillingCode><Name>Knotless PEEK CF Suture Anchors</Name><Description>Suture Anchor, PEEK CF</Description><Size>4.5mm   5.5mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ055</BillingCode><Name>X-twist Knotless Suture Anchor </Name><Description>Knotless open architecture and fast inserting suture anchor system with multiple sliding suture or tissue sparing tape configurations and is available in PEEK Optima in 4.75mm, 5.5mm and 6.25mm diameters. The Anika X-Twist system is designed to be used in both single row and double row rotator cuff  repairs as well as other knotless or knotted soft tissue repairs.</Description><Size>4.75mm. 5.5mm, 6.25mm </Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>393388</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB067</BillingCode><Name>Full Thread Suture Anchor</Name><Description>Suture Anchor</Description><Size>&gt; 4mm </Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>323905</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ044</BillingCode><Name>Parcus Twist Screw in PEEK suture Anchors</Name><Description>Screw in PEEK CF anchors recommended for small and large joints. Optimal cortical fixation, Non aborbable, radiolucent. PEEK body anchors assembled with 0, 1, 2, 3 sutures or suture tape.  </Description><Size>4.25, 4.75, 5.5, 6.25, 6.5 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ045</BillingCode><PriorBillingCodes><PriorBillingCode>PJ034</PriorBillingCode></PriorBillingCodes><Name>SLik Knot-less CF</Name><Description>Knot-less screw in anchor recommended for use in large and small joint repairs</Description><Size>5.5mm- 6.25mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL242</BillingCode><Name>FAST-FIX FLEX Meniscal Repair System</Name><Description>Soft Tissue Anchor Fixation – PEEK (FLEX Curved or Reverse Curved with or without Bend Tool and Slotted Cannula)</Description><Size>5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>120338</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF078</BillingCode><Name>Christmas Anchor</Name><Description>Titanium Anchor with sutures, with or without needles.</Description><Size>4.5mm, 5.5mm and 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF130</BillingCode><Name>PEEKay knotless Anchor</Name><Description>These are PEEK OPTIMA knotless anchors for repair and reattachment of soft tissue in the shoulder.</Description><Size>4.5mm, 5.5mm and 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF003</BillingCode><Name>Signature Turbine™ Anchor</Name><Description>PEEK fully threaded suture anchor</Description><Size>4.5mm, 5.5mm &amp;6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF153</BillingCode><Name>ATOK Anchor</Name><Description>PEEK Shoulder Anchor</Description><Size>4.5, 5.5, 6.5mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN271</BillingCode><Name>HEALIX Anchor System</Name><Description>Self-Punching PEEK Anchor</Description><Size>4.9 mm, 5.5 mm , 6.5 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW554</BillingCode><Name>ReelX STT Anchor</Name><Description>ReelX STT Knotless Anchor (PEEK)</Description><Size>5.5mm, 4.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>226667</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW008</BillingCode><Name>Biotek large suture anchor PEEK</Name><Description>A device designed to be implanted into bone for the attachment of soft tissues either directly or via a suture attached to the device. It is typically used in shoulder and some lower-limb operations, and functions as an alternative to drilling a hole in bone for passing a suture. The device is made of a material that cannot be chemically degraded or absorbed via natural body processes</Description><Size>Diameter: 5.5mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW027</BillingCode><Name>Knotless Bioabsorbable Ligament Anchor</Name><Description>Knotless Bioabsorbable Ligament Anchor</Description><Size>Diameter (mm) 4.75 - 5.5</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>393986</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU022</BillingCode><Name>Memofix</Name><Description>Threaded Titanium Suture Anchor</Description><Size>Diameter 4mm to 5mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>288706</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ821</BillingCode><Name>Revolution Surgical TapScrew Suture Anchor</Name><Description>Knotless Suture Anchor</Description><Size>4.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ678</BillingCode><Name>Versalok Bone Anchor System</Name><Description>Suture anchor</Description><Size>4.9-6.3mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>154329</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA122</BillingCode><Name>GENIE Biocomposite Suture Anchor</Name><Description>absorbable bone fixation anchor</Description><Size>4.5 - 5.5 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>412790</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU181</BillingCode><Name>MectaLock PEEK</Name><Description>Suture Anchor</Description><Size>Ø 4.5 - 5.5 - 6.5 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>320484</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ049</BillingCode><Name>Parcus AP large</Name><Description>AP knotless push in Anchors Large</Description><Size>4.5, 5,5 mm </Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>375791</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU280</BillingCode><Name>DX Swivelock Anchor</Name><Description>Soft Tissue Fixation Anchor</Description><Size>4.75mm x 12mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ050</BillingCode><Name>Parcus AP twist</Name><Description>Twist screw in AP anchor</Description><Size>4.5-6.5 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>375791</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU163</BillingCode><Name>Mini Tightrope</Name><Description>CMC Fixation Device</Description><Size>One Size fits all</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU222</BillingCode><PriorBillingCodes><PriorBillingCode>DE252</PriorBillingCode></PriorBillingCodes><Name>Tightrope Syndesmosis Repair Kit</Name><Description>Titanium or stainless steel, with non absorbable Fiberwire suture material</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU335</BillingCode><Name>Knotless Distal Clavicle Plate Button Assembly</Name><Description>Knotless TightRope pre-loaded on Clavicle Button for use with DogBone. Titanium button with nonabsorbable UHMWPE suture material.</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ108</BillingCode><PriorBillingCodes><PriorBillingCode>KH067</PriorBillingCode></PriorBillingCodes><Name>Rejoin Button</Name><Description>Suture Button</Description><Size>Multiple</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU172</BillingCode><Name>Cortical Fixation System</Name><Description>ACL Femoral Cortical Fixation</Description><Size>Length 15mm to 40mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>320480</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV142</BillingCode><Name>Knee Preservation System - GraftMax</Name><Description>Adjustable loop button for soft tissue fixation</Description><Size>KS-ALB and KS BTB (LxWxH):  14mm x 4.5mm x 2mm
KS-BCA (Cradle) (LxWxH): 21mm x 6mm x 2.8mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU184</BillingCode><Name>FairFix Adjustable Button System</Name><Description>Button with non absorbable suture material</Description><Size>Adjustable loop length</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>365812</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU339</BillingCode><Name>Knotless Mini Tightrope Implant System, 1.1mm Titanium</Name><Description>1.1mm Knotless Tightrope Implant System includes the Knotless Mini Tightrope Construct, 2 Buttons, Suture, Passing wires and pins, and Kite Handle.</Description><Size>one size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU324</BillingCode><Name>TightRope II RT Implant</Name><Description>Suture construct with button for soft tissue to bone fixation for ACL/PCL repair and reconstruction. </Description><Size>One Size Only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>383904</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV148</BillingCode><Name>Infinity Femoral Adjustable Loop Button</Name><Description>The Infinity Fixation System is a metal buttons and non-absorbable Hi-Fi suture for suspensory fixation of soft tissue grafts to bone used in ligament reconstruction procedures.The cradle is an adaptor for the adjustable loop button, used for wide tunnels.</Description><Size>N/A</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ052</BillingCode><PriorBillingCodes><PriorBillingCode>LV154</PriorBillingCode></PriorBillingCodes><Name>Xiros Secure-Loop with Button</Name><Description>The SECURE-LOOP fixation device consists of a sterile and non-absorbable polyester continuous loop captured on a titanium alloy button. The button sits on the exit to a bone tunnel on the cortex, suspending the continuous loop inside the tunnel to provide secure, strong fixation for ligament reconstruction. The SECURE-LOOP fixation device is supplied with sutures that are used  to pull the graft assembly into place andthen flip the button, allowing ligament  reconstruction to be performedarthroscopically. The SECURE-LOOP has been designed to be implantable using generic ACL guidewire systems and a standard technique. Thesuture meets applicable specifications established by the United States Pharmacopeia (USP) for nonabsorbable surgical sutures. The fixation device is made of titanium alloy which meets ISO 5832-3.</Description><Size>10 mm  15 mm  20 mm  25 mm  30 mm  35 mm  40 mm  45 mm  50 mm  55 mm  60 mm</Size><SupplierCode>NY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>402457</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU334</BillingCode><Name>Knotless BicepsButton</Name><Description>Button suture construct</Description><Size>2.6 mm x 12 mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>385940</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU337</BillingCode><Name>Low-Profile AC Implant</Name><Description>Knotless AC Implant (Button with Non-Absorbable Suture)  </Description><Size>One Size Only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ806</BillingCode><Name>Revolution Surgical Adjustable Suture Button (Preloaded with suture)</Name><Description>Adjustable Fixation Device consists of a graft suspension loop and a titanium cortical button
</Description><Size>One size only</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ804</BillingCode><Name>Revolution Surgical AC Button (Preloaded with Suture)</Name><Description>Titanium adjustable AC Suture Button Fixation Device with non absorbable suture material. </Description><Size>One Size</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU239</BillingCode><PriorBillingCodes><PriorBillingCode>DE271</PriorBillingCode></PriorBillingCodes><Name>RetroButton</Name><Description>Femoral Fixation Device</Description><Size>12mm Button with 15-60mm loops, 15mm Button with 15-60mm loops</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV109</BillingCode><Name>XO Button with Continuous Loop</Name><Description>Titanium suspensor, fixation device for femoral fixation in ACT and PCL repairs</Description><Size>4.5mm x 13.5mm with Continuous Loop lengths 15-60mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ620</BillingCode><Name>FiberTag Tightrope II button and suture</Name><Description>TightRope implant pre-loaded with FiberTag suture</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>383904</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU329</BillingCode><Name>Knotless AC Open Repair Implant  </Name><Description>Titanium or stainless steel fixation device, with nonabsorbable suture material  </Description><Size>2.6mm – 3.2mm, adjustable length suture</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>385940</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV147</BillingCode><Name>MicroLink All-Suture Button</Name><Description>The MicroLink™ All-Suture Button (Radiopaque) is an all-suture suspension device with one strand of #2 (5  metric) Hi-Fi® suture, a radiopaque flat braid Hi-Fi® Suture Button and a radiopaque flat braid Hi-Fi® suture  Backstop</Description><Size>N/A</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU223</BillingCode><PriorBillingCodes><PriorBillingCode>DE548</PriorBillingCode></PriorBillingCodes><Name>Tightrope</Name><Description>Titanium or stainless steel fixation device, with non absorbable suture material</Description><Size>2.6mm - 13mm, various shapes, adjustable length suture</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU326</BillingCode><Name>Knotless Distal Clavicle Plate Button TightRope® Implant</Name><Description>Knotless Distal Clavicle Plate Button attached to a large Pec Button pre-loaded on an inserter. Titanium or stainless steel button, with nonabsorbable UHMWPE suture material.</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU331</BillingCode><Name>Knotless Mini Tightrope Implant System, 2.7mm, Titanium</Name><Description>Button fixation for ligament repair</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ225</BillingCode><Name>RIGIDLOOP Cortical fixation system</Name><Description>Cortical Fixation System - Button and thread</Description><Size>Size: 15-60 mm Button: Standard, XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ224</BillingCode><Name>RIGIDLOOP BTB Adjustable Cortical system</Name><Description>Bone-Tendon-Bone Adjustable Cortical System - button and thread</Description><Size>Button: Standard, XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>381183</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ240</BillingCode><Name>RIGIDLOOP T Adjustable Cortical system</Name><Description>Adjustable Cortical Fixation – adjustable button and thread system</Description><Size>Button size: Standard, XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>381183</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ239</BillingCode><Name>RIGIDLOOP Adjustable Cortical system</Name><Description>Adjustable Cortical Fixation – adjustable button and thread system</Description><Size>Size: Standard, Large, XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ259</BillingCode><Name>Hercules Syndesmosis Implant Kit</Name><Description>Implant and Instrument Kit containing Two Titanium Alloy buttons tensioned with UHMWPE suture and guidewires and drill bits for stabilisation of the ankle.</Description><Size>1 Size</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>431330</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ040</BillingCode><Name>AcTiFlip Infinity loop</Name><Description>Button fixation, recommended for proximal and distal tendon and ligament repair.    Comes with one suture and one needle </Description><Size>12mm  10mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>178101</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA086</BillingCode><Name>ToggleLoc Flip</Name><Description>Consists of a metal plate, suture loop and non-absorbable sutures</Description><Size>15mm to 60mm (5mm increments)</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>354952</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI973</BillingCode><Name>Aperfix Femoral Fixation System</Name><Description>Aperfix Femoral Fixation System</Description><Size>9x24mm,10x24mm,9x29mm,10x29mm,11x29mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>152854</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM543</BillingCode><Name>TriMed RipCord® Syndesmosis Button Kit</Name><Description>The system consists of UHMWPE suture, a far button and a near button made from 316L medical grade implant quality stainless steel, and accompanying instrumentation</Description><Size>1 size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>409845</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW584</BillingCode><Name>ProCinch</Name><Description>ProCinch Adjustable Loop Fixation Device</Description><Size>Length (cm): 35.6, 47.8  Width (cm): 9.7, 19.1  Height (cm): 2.5</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI920</BillingCode><Name>EZLoc Femoral fixation Device</Name><Description>Ligament Anchor, Ti, PE</Description><Size>7-8; 9-10mm x Short, std or long.</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>117747</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW540</BillingCode><Name>VersiTomic G-Lok</Name><Description>VersiTomic G-Lok suspension fixation device</Description><Size>15mm, 20mm, 25mm, 30mm, 35mm, 40mm, 45mm, 50mm </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>229719</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH111</BillingCode><Name>Ziptight Fixation System</Name><Description>Ankle Syndesmosis device, stainless steel or titanium, PE suture with or without disposable instruments.</Description><Size>One Size</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>208040</ARTG><ARTG>116765</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV026</BillingCode><Name>ProCinch (Attachable Button System)</Name><Description>The Stryker ProCinch (Attachable Button System) is comprised of a braided ultra-high molecular weight polyethylene (UHMWPE) and polyester adjustable loop combined with titanium plate (button).  The UHMWPE sutures are looped through the titanium plate to aide in assembly of the device and passing the plate through the intended void.</Description><Size>UHMWPE suture adjustable loop, Attachable Button: Concave Round Button- Diameter: 11mm to 20mm / Standard Flat Button: Length: 12mm to 14mm, Width: 8mm  </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM469</BillingCode><Name>Button Loop System</Name><Description>Fixed length or adjustable button loop system</Description><Size>Multiple fixed and adjustable options to suit patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>338954</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ043</BillingCode><Name>Parcus Sydn-EZ </Name><Description>The Parcus Synd-EZ  is intended to be used as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated, and as adjuncts in external and intramedullary fixation systems involving plates and rods, with fracture braces and casting.</Description><Size>3.9 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>330545</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ815</BillingCode><Name>Revolution Surgical Multi-function Button (Preloaded with Suture)</Name><Description>Suture Button, a non-bioabsorbable device designed to be used for fixation of bone to bone or soft tissue to bone,
and is intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair</Description><Size>One Size Only</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ052</BillingCode><Name>Parcus Synd-Ez SS</Name><Description>The Parcus Synd-EZ  is intended to be used as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated, and as adjuncts in external and intramedullary fixation systems involving plates and rods, with fracture braces and casting. Includes top hat, suture and button.</Description><Size>3.2 mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>375955</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ035</BillingCode><PriorBillingCodes><PriorBillingCode>SV038</PriorBillingCode></PriorBillingCodes><Name>Parcus - GFS II Large and GFS Mini</Name><Description>Parcus - GFS Fixation for knee ligament reconstruction</Description><Size>Button Sizes:   3.9mm-4.4mm in width x 12mm-16.5mm in length.  Loop sizes:  12mm, 15mm, 20mm, 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>178101</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI110</BillingCode><Name>Comete Anchor</Name><Description>ACL Femoral Cortical Fixation</Description><Size>Length 15mm to 40mm</Size><SupplierCode>LI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>285471</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NY004</BillingCode><Name>Sekure-Lock</Name><Description>Fixation anchor with suture</Description><Size>One size only</Size><SupplierCode>NY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>402457</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ039</BillingCode><Name>AcTiFlip Cinch loop</Name><Description>Button fixation recommended for biceps repair both proximal and distal repairs.   With one size two suture</Description><Size>12mm  10mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>178101</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB068</BillingCode><Name>G Loop</Name><Description>Titanium or Stainless Steel fixation device with non-absorbable suture material</Description><Size>Adjustable Length</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>323905</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ812</BillingCode><Name>Revolution Surgical Fixed Suture Button (Preloaded with Suture)</Name><Description>Button fixation device for ACL/PCL reconstruction
</Description><Size>Multiple sizes</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW784</BillingCode><Name>GRAVITY SYNCHFIX</Name><Description>Titanium syndesmosis fixation device, with non absorbable suture material and including medial button.</Description><Size>one size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>175633</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA117</BillingCode><Name>OrthoButton AL</Name><Description>Consists of a metal plate, suture loop and non-absorbable sutures and a braided ultra-high molecular weight polyethylene   </Description><Size>Self-adjusting loop covering 15 to 60mm ACL loop repair diameters</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>397951</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF154</BillingCode><Name>Signaflip</Name><Description>Fixation for ACL/PCL repair</Description><Size>Fixed/Adjustable loop, 15-60mm length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL071</BillingCode><Name>Ultrabutton Adjustable Fixation Device</Name><Description>Ultrabutton construct is pre-assembled titanium button with interlocking threads and flip suture (which controls to the button).</Description><Size>One size only</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>271876</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL082</BillingCode><Name>INVISIKNOT</Name><Description>Ankle Syndesmosis Repair Device</Description><Size>Fracture or non fracture</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>287770</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL253</BillingCode><Name>ULTRABUTTON QUAD</Name><Description>Adjustable Fixation Device consists of a graft suspension loop and a titanium cortical button</Description><Size>one size only</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW016</BillingCode><Name>Biotek Button System</Name><Description>Adjustable Fiber Loop for attachable Button System and tibial base plate for button system  UHMWPE loop without button</Description><Size>Round Button- Dia: 6 mm to 20 mm    Rectangular button- Length: 4 mm to 30 mm                                    Width: 2 mm to 10 mm    Button Shapes: Standard, round, oblong etc.  UHMWPE loop without button </Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL016</BillingCode><Name>Endobutton Twinbridge</Name><Description>A button/thread/button device for ligament reconstruction</Description><Size>6mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>172519</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL252</BillingCode><Name>ULTRABUTTON BB</Name><Description>Adjustable Fixation Device consists of a graft suspension loop and a titanium cortical button</Description><Size>one size only</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN853</BillingCode><Name>Endobutton</Name><Description>Fixation for ACL/PCL reconstruction</Description><Size>5-60mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF019</BillingCode><Name>EZ Flip ACL/PCL Fixation system</Name><Description>Fixation for ACL/PCL fixation</Description><Size>15-60mm length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL251</BillingCode><Name>ULTRABUTTON TIB</Name><Description>Adjustable Fixation Device consists of a graft suspension loop and a titanium cortical button</Description><Size>Small, Medium, Large</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU205</BillingCode><Name>Orthobutton CL</Name><Description>Braided polyethylene continuous loop combined with a titanium plate </Description><Size>12 - 60 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>411650</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU323</BillingCode><Name>BTB TightRope II</Name><Description>Suture construct with button for soft tissue to bone fixation for ACL/PCL repair and reconstruction</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>383904</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU322</BillingCode><Name>TightRope II ABS (Attachable Button System)</Name><Description>Adjustable FiberLoop for Attachable Button System constructs combined with a button</Description><Size>Round Button- Diameter: 11mm to 20mm  Standard Button: Length: 12mm, Width: 8mm; Oblong Button- Length: 13mm, Width: 3.4mm;    Button Shapes: standard, round, oblong; UHMWPE loop without button</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>353493</ARTG><ARTG>383904</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU171</BillingCode><Name>Adjustable loop</Name><Description>Pullup and Mblock Adjustable fixation system</Description><Size>  4.5 mm    5 -10 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>322721</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU162</BillingCode><PriorBillingCodes><PriorBillingCode>DE507</PriorBillingCode></PriorBillingCodes><Name>Mini Tightrope CMC</Name><Description>CMC fixation device</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>350631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL078</BillingCode><Name>Double ENDOBUTTON Fixation Device</Name><Description>Titanium or stainless steel screwbutton, titanium and stainless steel round ENDOBUTTON device and UHMW polyethylene suture</Description><Size>Various sizes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW011</BillingCode><Name>ONButton CL Fixation Button</Name><Description>Titanium fixation button and UHMWPE braid (Ultra High Molecular Weight Poly  Ethylene braid) suture</Description><Size>Loop Size 12mm - 40mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO111</BillingCode><Name>APTUS</Name><Description>Insert for Suture or Screw Fixation</Description><Size>Various</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ042</BillingCode><PriorBillingCodes><PriorBillingCode>SV076</PriorBillingCode></PriorBillingCodes><Name>PARCUS GFS Naked</Name><Description>Graft Fixation System  for use in the fixation of ligament or tendon repairs.</Description><Size>Button widths: 1.4mm -4.4mm   Button lengths: 5.9mm - 21mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>178101</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV018</BillingCode><Name>Suture Button</Name><Description>The Slotted Button device is a single-use, titanium implant used for  fixation of soft tissue to bone.</Description><Size>11–20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>381237</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU237</BillingCode><Name>Suture Button</Name><Description>Multiple hole button for fixation of bone to bone or soft tissue to bone, and are intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. A button implant system is supplied with suture.</Description><Size>2.6mm - 7.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>385940</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV149</BillingCode><Name>Infinity  Tibial Button</Name><Description>The tibial buttons are available in two (2) sizes to accommodate various tunnel sizes and is meant to be used with the adjustable free loop for suspensory fixation of soft tissue grafts to bone in ligament reconstruction procedures.</Description><Size>Standard and Large</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>136631</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU189</BillingCode><Name>FairFix Adjustable Button Extender</Name><Description>Button Extender</Description><Size>Various sizes</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>365812</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU327</BillingCode><Name>Knotless Tension Tight Button</Name><Description>Biceps Suture Button</Description><Size>2.6mm - 7.5mm  </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU151</BillingCode><Name>Extracortical Femoral Button</Name><Description>Extracortical Femoral Button</Description><Size>Single size</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>290768</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ303</BillingCode><Name>Tightrope ABS Button Round Concave</Name><Description>Tibial buttons to accommodate various tunnel sizes</Description><Size>11-17mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN426</BillingCode><Name>ACL/PCL Reconstructions</Name><Description>EndoButton</Description><Size>4 x 12mm, 4mm x 18mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HV002</BillingCode><Name>OzLoop</Name><Description>Fixation Button</Description><Size>15mm to 60mm</Size><SupplierCode>HV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>351392</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF185</BillingCode><Name>SignaFlip Extender Button</Name><Description>Titanium Extender button</Description><Size>10-20mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>193153</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU228</BillingCode><PriorBillingCodes><PriorBillingCode>DE500</PriorBillingCode></PriorBillingCodes><Name>TightRope Button</Name><Description>Titanium or stainless steel button</Description><Size>5mm-20mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>353493</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA087</BillingCode><Name>ToggleLoc Flipwasher</Name><Description>Titanium Button</Description><Size>15mm-20mm,  20mm (Extender)</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>354952</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU150</BillingCode><Name>Tibial Pull Suture Plate (PSP)</Name><Description>Tibial Pull Suture Plate</Description><Size>Single size</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>290767</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN428</BillingCode><Name>ACL/PCL Reconstructions</Name><Description>EndoButton CL and Xtendobutton</Description><Size>10-60 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW971</BillingCode><PriorBillingCodes><PriorBillingCode>WR368</PriorBillingCode></PriorBillingCodes><Name>ArthroTunneler TunnelPro System</Name><Description>Lateral button, PEEK</Description><Size>10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>214982</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ817</BillingCode><Name>Revolution Surgical Round Button</Name><Description>Button Only</Description><Size>Diameter 14 x 1.2mm, diameter 14 x 1.5mm, diameter 20 x 1.5mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN258</BillingCode><Name>RIGIDLOOP Clip Cortical Button</Name><Description>Clip Cortical Button</Description><Size>Standard; XL</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>381183</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU180</BillingCode><Name>MectaFix Continuous Loop</Name><Description>ACL reconstructions</Description><Size>15 - 60 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>332525</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW539</BillingCode><Name>VersiTomic G-Lok</Name><Description>VersiTomic G-Lok suspension fixation device - No Loop</Description><Size>No Loop</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>229719</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ769</BillingCode><Name>I.D.E.A.L. Button</Name><Description>Button and extender button</Description><Size>S, M, L (13-20mm)</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>397951</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VY003</BillingCode><Name>Titan Interference Screws </Name><Description>Interference Screws </Description><Size>All sizes</Size><SupplierCode>VY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>370602</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW794</BillingCode><PriorBillingCodes><PriorBillingCode>WR080</PriorBillingCode></PriorBillingCodes><Name>G-Force Tenodesis System</Name><Description>Cannulated Interference Screw - PEEK Optima</Description><Size>4-8mm diameter, 10-25mm width</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>175633</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST830</BillingCode><Name>Stryker Wedge Interference Screw</Name><Description>Small threaded titanium screw for ligament/tendon fixation</Description><Size>Diameter 7 - 9mm, Length 20 - 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>139736</ARTG><ARTG>140466</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF015</BillingCode><Name>TLS - Tendon Anchoring System - Titanium</Name><Description>Titanium screw for suspensory fixation of tendon</Description><Size>10 x 20mm, 10 x 25mm, 12 x 20mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>181401</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI239</BillingCode><Name>Arthrotek Ligament Fixation System</Name><Description>Interference Screw, Titanium</Description><Size>15-30mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>208040</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK023</BillingCode><Name>ACL Wedge Interference Screw</Name><Description> Interference Screw</Description><Size>Dia 7 - 12mm, length 20 - 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>140466</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW018</BillingCode><Name>Biotek SOFTFIX Interference screw</Name><Description>Interference screw for use in ligament/tendon reconstruction</Description><Size>Diameter 5.0mm - 11.0mm    Length 15mm - 35mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR031</BillingCode><Name>LARS Interference Screw</Name><Description>Titanium Interference screw</Description><Size>5.2 - 10mm diameter, 
15 - 30mm</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>138574</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU333</BillingCode><Name>FastThread PEEK Interference Screw</Name><Description>PEEK Interference Screw</Description><Size>Diameters: 6 - 12mm   Length: 20 - 30mm  </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF001</BillingCode><Name>Tissue Loc Tenodesis Screw</Name><Description>Cannulated Interference Screw - PEEK</Description><Size>4x10mm, 5x10mm, 4x15mm, 5x15mm, 6x15mm, 6x20mm, 7x25mm, 8x25mm, 8x30mm, 9x25mm, 9x30mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV146</BillingCode><Name>EZStart Screw</Name><Description>The EZStart™ Interference Screw is a dual threaded titanium interference screw with a tapered tip for easy insertion into  bone</Description><Size>6-10mm width x 15 - 30mm long</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>129072</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV017</BillingCode><Name>Guardsman Femoral Interference Screws</Name><Description>ACL Fixation - Titanium</Description><Size>Diameter 7.0 - 9.0mm, Length 20 - 30mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>129072</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU121</BillingCode><PriorBillingCodes><PriorBillingCode>DE710</PriorBillingCode></PriorBillingCodes><Name>PEEK Tenodesis Screw</Name><Description>Interference Screw (2.5mm x 6mm)</Description><Size>2.5mm x 6mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU265</BillingCode><Name>BioComposite Tenodesis Screw</Name><Description>Soft Tissue Fixation</Description><Size>3mm-9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>360373</ARTG><ARTG>360374</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU002</BillingCode><PriorBillingCodes><PriorBillingCode>VK020</PriorBillingCode></PriorBillingCodes><Name>CPS Screw Hexalon Biodegradable ACL/PCL Reconstruction</Name><Description>Biodegradable ACL/PCL Recon Screw PLLA/PGA/TMC</Description><Size>6 x 20, 6 x 25, 6 x 30, 7 x 20, 7 x 25, 7 x 30, 8 x 20, 8 x 25, 8 x 30, 9 x 20, 9 x 25, 9 x 30, 10 x 30</Size><SupplierCode>WU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154551</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ111</BillingCode><PriorBillingCodes><PriorBillingCode>KH068</PriorBillingCode></PriorBillingCodes><Name>Rejoin Interference Screw</Name><Description>Interference Screw</Description><Size>6mm - 12mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>320191</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN371</BillingCode><Name>MILAGRO® Advance BR interference screw</Name><Description>Biocryl Rapide Interference screw system</Description><Size>Diameter 7-12 mm; Length 23-35 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>218737</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ961</BillingCode><Name>BioIntrafix</Name><Description>Tibial soft tissue fastner screw/sheath</Description><Size>6-8mm-7-10mm x 30mm; Small and Large</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>136255</ARTG><ARTG>136254</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN369</BillingCode><Name>MILAGRO® Small Bioabsorbable Interference Screw</Name><Description>Biocryl Rapide Interference screw system</Description><Size>Diameter 5-8 mm; Length 12-30 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>122579</ARTG><ARTG>217763</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA120</BillingCode><Name>Neo Advance Biocomposite Interference Screws  </Name><Description>Biocomposite Interference Screws  </Description><Size>Ø7.0 x (25,30) mm  Ø8.0 x (23,25,28,30) mm  Ø9.0 x (23,25,28,30) mm  Ø10.0 x (23,25,28,30) mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>409050</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA025</BillingCode><Name>ComposiTCP Interference Screw</Name><Description>Interference Screw for ACL Reconstruction</Description><Size>Diameters: 6 to 11 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>308240</ARTG><ARTG>308241</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW549</BillingCode><Name>Bioabsorbable (PLLA) Wedge Interference Screws</Name><Description>Bioabsorbable (PLLA) ACL Wedge Interference Screw </Description><Size>9, 10, 11, 12 x35mm; 7, 8, 9, 10 x 28mm; 7,8,9 x 23mm </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>143167</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN373</BillingCode><Name>INTRAFIX™ Advance BR™</Name><Description>Tibial Sheath and Screw System</Description><Size>7-10mm X 23-30 mm; Small and Large</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>421230</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL159</BillingCode><PriorBillingCodes><PriorBillingCode>SN004</PriorBillingCode><PriorBillingCode>SN421</PriorBillingCode></PriorBillingCodes><Name>Bioabsorbable Screw</Name><Description>Absorbable Interference Screw</Description><Size>Various</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>322284</ARTG><ARTG>121752</ARTG><ARTG>126191</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF016</BillingCode><Name>TLS - Tendon Anchoring Screw - PEEK</Name><Description>PEEK screw for suspensory fixation of tendon</Description><Size>10 x 20mm 10 x 25mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>181401</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU118</BillingCode><PriorBillingCodes><PriorBillingCode>DE439</PriorBillingCode></PriorBillingCodes><Name>Peek Delta Screws</Name><Description>Interference screw for soft tissue Fixation</Description><Size>6-12mm Diameter x (23mm-35m) Length</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI109</BillingCode><Name>Eclipse BCP Screw</Name><Description>Absorbable, osteoconducting interference screw</Description><Size>Diameter 7mm to 12mm  Length 20mm to 35mm</Size><SupplierCode>LI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>284239</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HV001</BillingCode><Name>OzScrew</Name><Description>PEEK Screw</Description><Size>Diameter 8mm to 12mm  Lengths 25mm and 30mm</Size><SupplierCode>HV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>351410</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI990</BillingCode><Name>Quattro Bolt</Name><Description>Tenodesis Screw</Description><Size>10-16 mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>209509</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU120</BillingCode><Name>Tenodesis Screw</Name><Description>Non Absorbable Tenodesis Screw</Description><Size>2.5mm-9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI241</BillingCode><Name>Gentle Threads Ligament Fixation Screws</Name><Description>Screw, Graft Interference, PGA/PLA</Description><Size>7mm, 8mm, 9mm, 10mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>154007</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU119</BillingCode><PriorBillingCodes><PriorBillingCode>DE440</PriorBillingCode></PriorBillingCodes><Name>Interference Screws</Name><Description>Interference screw for Soft Tissue Fixation</Description><Size>7-10mm x (15-35mm)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU330</BillingCode><Name>FastThread</Name><Description>BioComposite Interference Screw</Description><Size>Length: 20mm-30mm  Diameter: 6mm- 12mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>398151</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV016</BillingCode><Name>Propel Interference Screws</Name><Description>ACL Fixation - Titanium</Description><Size>Diameter 7.0 - 9.0mm, Length 20 - 30mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>129072</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK047</BillingCode><Name>Stryker Wedge Interference Screw</Name><Description>Threaded biosteon screw for ligment/tendon fixation</Description><Size>Dia 7 - 12mm, length 20 - 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>143167</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL017</BillingCode><Name>Biosure Healicoil</Name><Description>interference screw</Description><Size>6-10mm diameter</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA089</BillingCode><Name>Neo Advance PEEK Interference Screws</Name><Description>PEEK Interference Screws</Description><Size>7 × 25mm, 7 × 30mm, 8 × 25mm, 8 × 30mm, 9 × 25mm, 9× 30mm, 10× 25mm, 10× 30mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>354952</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV103</BillingCode><Name>Matryx Interference Screw</Name><Description>Matryx (SR-96L/4D PLA with ß-TCP) Inteference Screw</Description><Size>7.3 x 20mm; 7.3 x 25mm; 7.3 x 30mm; 8 x 20mm; 8 x 25mm; 8 x 30mm; 9 x 20mm; 9 x 25mm; 9 x 30mm; 9 x 38mm; 10 x 25mm; 10 x 33mm; 10 x 38mm; 11 x 25mm; 11 x 33mm; 11 x 38mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139664</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN420</BillingCode><Name>ACL/PCL Reconstruction</Name><Description>RCI Screws Titanium</Description><Size>7-11mm diameter, 25-40mm length</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN981</BillingCode><Name>BIOSURE SYNC</Name><Description>Soft tissue intra-tunnel tibial fixation device which includes Interference screw and sheath</Description><Size>6-12mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV018</BillingCode><Name>Cannulated Interference Screws</Name><Description>ACL Fixation - Titanium</Description><Size>Diameter 7.0 - 9.0mm, Length 20 - 40mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>129072</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU117</BillingCode><PriorBillingCodes><PriorBillingCode>DE374</PriorBillingCode></PriorBillingCodes><Name>GraftBolt</Name><Description>Interference Screw and Sheath</Description><Size>7mm, 8mm, 9mm and 10mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV121</BillingCode><Name>GENESYS Matrix Interference Screw, diameter 5-6.5mm.</Name><Description>GENESYS Matrix Interference Screw - Cannulated,bioabsorbable</Description><Size>5.0mm diameter x15,20,25,30mm lengths
5.5mm diameter x15,20,25,30mm lengths
6.0mm diameter x15,20,25,30mm lengths
6.5mm diameter x15,20,25,30mm lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>101275</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM164</BillingCode><Name>BIOSURE</Name><Description>A non-absorbable polymer (PEEK) interference screw for use in ligament/tendon reconstruction</Description><Size>6-12mm in diameter</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW017</BillingCode><Name>Biotek SOFTFIX PK Interference screw</Name><Description>Interference screw for use in ligament/tendon reconstruction</Description><Size>Diameter: 4.0mm - 11.0mm    Length:  10mm - 35mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>314305</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ912</BillingCode><Name>Intrafix Interference System</Name><Description>Non absorbable screw/sheath</Description><Size>7-12 mm x 23-30 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF035</BillingCode><Name>Signature ST Shoulder Anchor</Name><Description>PEEK fully threaded suture anchor</Description><Size>2.3mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ814</BillingCode><Name>Revolution Surgical Little Interference Screw</Name><Description>PEEK Tenodesis Screw</Description><Size>3x8mm and 4x10mm</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>417257</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV120</BillingCode><Name>GENESYS Matryx Interference Screw, diameter 7 - 11mm</Name><Description>GENESYS Matryx Interference Screw  - cannulated bioabsorbable</Description><Size>7.0x20mm,7.0x25mm,7.0x30mm,8.0x20mm,8.0x25mm,8.0x30mm,8.0x35mm,9.0x20mm,9.025mm,9.0x30mm,9.0x35mm,10x20mm,10x25mm,10x30mm,10x35mm,11x20mm,11x25mm,11x25mm,11x25mm,11x25mm,11x30mm,11x35mm,11x40mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>194179</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ024</BillingCode><PriorBillingCodes><PriorBillingCode>SV039</PriorBillingCode></PriorBillingCodes><Name>Parcus PEEK CF Interface Screw</Name><Description>PEEK CF Interface Screw</Description><Size>7,8,9mm x 20-35mm 10,11,12mm x 25-35mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>177865</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ051</BillingCode><Name>Parcus Interference Ti screws</Name><Description>Interference screws for soft tissue fixation (Titanium)</Description><Size>7-12 mm (20-35mm in length</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>177866</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM176</BillingCode><Name>Bioabsorbable HA Screw</Name><Description>Absorbable HA Interference Screw</Description><Size>Various</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>162821</ARTG><ARTG>124506</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN425</BillingCode><Name>ACL/PCL Reconstructions</Name><Description>Cannuflex Silk &amp; Soft Silk Interference Screw</Description><Size>5.5 x 20mm - 9x30mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU169</BillingCode><Name>Mectascrew PEEK</Name><Description>Interference Screw</Description><Size>6-12 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>320872</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ816</BillingCode><Name>Revolution Surgical PEEK Interference Screw System</Name><Description>Interference Screw with our without Sheath</Description><Size>Diameter 6mm-105mm screw</Size><SupplierCode>AAH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>417257</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF017</BillingCode><Name>TLS, TLS Tendon Anchoring Screw</Name><Description>Screw for graft fixation</Description><Size>10 x 20mm, 10 x 25mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>181401</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL103</BillingCode><PriorBillingCodes><PriorBillingCode>SF097</PriorBillingCode></PriorBillingCodes><Name>Bi-On™ Inteference Screw</Name><Description>HA infused Polymer Interference Screws</Description><Size>5-12mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF096</BillingCode><Name>Bio-Composite Interference Screw</Name><Description>HA infused Polymer Interference Screws</Description><Size>5-12mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW541</BillingCode><Name>Biosteon (HA/PLLA) Screws</Name><Description>Biosteon HA/PLLA reabsorbable bone screw</Description><Size>6, 7, 8, 9, 10 x 23mm; 6, 7, 8, 9, 10, 11, 12 x 28mm; 9, 10, 11, 12 x 35mm </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>143167</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF151</BillingCode><Name>SignaLoc Screw</Name><Description>HA infused polymer Interference Screw</Description><Size>5-12mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU255</BillingCode><Name>BioComposite Interference Screw</Name><Description>Soft Tissue Fixation Device</Description><Size>6-12mm x 23-35mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>360376</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU349</BillingCode><Name>BioComposite Tenodesis Screw 4mm x 10mm, with Disposable Driver</Name><Description>Interference Screw for Soft tissue fixation</Description><Size>Diameter: 4mm  Length - 10mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>398150</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU264</BillingCode><PriorBillingCodes><PriorBillingCode>DE068</PriorBillingCode></PriorBillingCodes><Name>Interference Screws</Name><Description>ARTHREX Non-sheathed</Description><Size>7 x 28mm - 12 x 28mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ063</BillingCode><PriorBillingCodes><PriorBillingCode>WF001</PriorBillingCode></PriorBillingCodes><Name>Quick Start Screw</Name><Description>Titanium Interference Screw</Description><Size>Diameter 6 to 12mm  Length 20 to 40mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5394</SubGroupID><ARTGs><ARTG>339465</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK024</BillingCode><Name>Stryker Cross-screw</Name><Description>Cross screw</Description><Size> 40-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5394</SubGroupID><ARTGs><ARTG>139735</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA546</BillingCode><Name>Ligamys Monoblock</Name><Description>Dynamic spring system with clamping cone</Description><Size>One size</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5394</SubGroupID><ARTGs><ARTG>230046</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU256</BillingCode><Name>Bio-Transfix</Name><Description>Composition Poly (L-lactide)</Description><Size>Diameter 5mm, length 50mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5394</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>360377</ARTG></ARTGs><MinimumBenefit>462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ078</BillingCode><Name>Rigidfix ACL Cross Pin</Name><Description>Polylactic acid pin</Description><Size>2.7 &amp; 3.3mm x 42mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5394</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>140561</ARTG></ARTGs><MinimumBenefit>462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV027</BillingCode><Name>VuePoint Keel Plate (occipital)</Name><Description>Plate (occipital)</Description><Size>35/40/45mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>209198</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER637</BillingCode><PriorBillingCodes><PriorBillingCode>OF067</PriorBillingCode></PriorBillingCodes><Name>Centurion Occipital Plate</Name><Description>Occipital Plate</Description><Size>20-30mm Rod Spacing  30- 40mm Rod Spacing  40-50mm Rod Spacing</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>195012</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER322</BillingCode><Name>Ulrich posterior OCT System (neon3)-Plate</Name><Description>Ulrich posterior OCT System (neon3)-Plate, occipital, midline for occipital and standard rod (4 mm).</Description><Size>47,57 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>279706</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW740</BillingCode><PriorBillingCodes><PriorBillingCode>ER034</PriorBillingCode></PriorBillingCodes><Name>K2M Spinal Systems- Occipital Plate</Name><Description>Occipital Plate for posterior occipital/cervical/thoracic fixation</Description><Size>24-50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>159828</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY038</BillingCode><Name>Reform POCT Occipital Plate</Name><Description>Occipital Plate</Description><Size>25mm to 50mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>287906</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK226</BillingCode><Name>Oasys-Occipito Cervico Thoracic System</Name><Description>Occipital Plate</Description><Size>Mini, SML, MED, LGE, LGE Long, 100 deg, 130 deg</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>94635</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB050</BillingCode><Name>ELLIPSE® Stabilization System Occipital Plate</Name><Description>Occipital Plate</Description><Size>Small to Large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB161</BillingCode><Name>QUARTEX Occipital Plate</Name><Description>Occipital Plate</Description><Size>Small to Large</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>190061</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY380</BillingCode><Name>Occipito-Cervical Fusion System</Name><Description>Occipital Plate Medial / Lateral, Pure titanium</Description><Size>50mm / 60mm width, 3 or 4 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>293275</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU061</BillingCode><Name>Perla Posterior Occipito-Cervico-Thoracic fixation system - occipital plate</Name><Description>Occipital plate</Description><Size>31 - 45 mm, Small, medium, large</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>338498</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI268</BillingCode><Name>Infinity Spinal System</Name><Description>Occipital Plate</Description><Size>Small, standard</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC293</BillingCode><Name>Vertex Spinal System</Name><Description>Occipital Plate</Description><Size>24 - 40 mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI476</BillingCode><PriorBillingCodes><PriorBillingCode>NK091</PriorBillingCode></PriorBillingCodes><Name>Occipital plates</Name><Description>Occipital plates</Description><Size>All sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>295277</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU166</BillingCode><Name>MUST Mini Occipital Plate</Name><Description>Occipital Plate</Description><Size>Small to Large. X, Y and T Shape.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>291175</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW032</BillingCode><PriorBillingCodes><PriorBillingCode>ZI913</PriorBillingCode></PriorBillingCodes><Name>Virage Occiptial Plates</Name><Description>Modular adjustable occipital plates</Description><Size>small, medium, large</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>111775</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE771</BillingCode><Name>NorthStar OCT  </Name><Description>NorthStar OCT Occipital Plate</Description><Size>Extra Small - Small - Large</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>275794</ARTG></ARTGs><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ450</BillingCode><PriorBillingCodes><PriorBillingCode>JQ048</PriorBillingCode></PriorBillingCodes><Name>Invictus Occiptal Plate </Name><Description>Occipital Plate ,Ti Alloy</Description><Size>48 - 66 mm</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>398576</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JQ048
Sponsor transferred from LE CHEMINANT, DAVID E</ChangeExplanation><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ401</BillingCode><PriorBillingCodes><PriorBillingCode>NK102</PriorBillingCode><PriorBillingCode>LM426</PriorBillingCode></PriorBillingCodes><Name>Occipital Plate</Name><Description>Occipital Plate</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>159605</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM426
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB174</BillingCode><Name>Haven Dual Plates</Name><Description>Dual Laminoplasty plates</Description><Size>32mm - 39mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><Suffix>Bilateral laminoplasty plate</Suffix><ARTGs><ARTG>219536</ARTG></ARTGs><MinimumBenefit>832</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV054</BillingCode><Name>Leverage LFS (Traditional Plate)</Name><Description>Laminoplasty plate</Description><Size>8/9.5/11/12.5mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>132466</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB092</BillingCode><Name>CANOPY Laminoplasty System Plate</Name><Description>Laminoplasty Plate</Description><Size>5 - 13mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>219536</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB149</BillingCode><Name>Canopy Radiolucent Spacer</Name><Description>Slide-on PEEK spacer with graft packing chamber</Description><Size>5-13mm in 2mm increments</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>219536</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI174</BillingCode><Name>Centerpiece</Name><Description>TiMesh LP</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH707</BillingCode><Name>Ultio Laminoplasty Plate</Name><Description>Plate</Description><Size>Small - 25,7mm  Med - 27,1mm  Lge - 28,9mm  X-Large - 30,3mm  Standard support plate - 15,35mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>330538</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB046</BillingCode><Name>Laminoplasty Mini Plate</Name><Description>Laminoplasty Plate</Description><Size>10/12/14mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4131</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><MinimumBenefit>660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB137</BillingCode><Name>Fortify® I Integrated Corpectomy Spacer System - Core</Name><Description>PEEK and Titanium Cores with option of fixed lower endplate</Description><Size>12mm, 14mm and 20mm diameter Height 24-90mm to 32-120mm (expanded)</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4136</SubGroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>2016</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV078</BillingCode><Name>X-CORE (Expandable  cage)</Name><Description>Expandable VBR Cage</Description><Size>Diameter: 12-22mm
Height: 15-121mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB288</BillingCode><Name>Aesculap Vertebral Body System</Name><Description>Vertebral Body System, Titanium Alloy</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>132297</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER309</BillingCode><Name>Ulrich Anterior Distraction Device</Name><Description>Ulrich Anterior Distraction Device (ADD)-telescoping cage,  thoracolumbar</Description><Size>dia (12-16 mm) x height collapsed (10-39 mm) x height extended (13-65 mm) x angle (0-6°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK448</BillingCode><Name>VLIFT</Name><Description>Vertebral Body Replacement System, DIS Implant</Description><Size>Diameters 12 to 22mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>130216</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW770</BillingCode><PriorBillingCodes><PriorBillingCode>ER471</PriorBillingCode></PriorBillingCodes><Name>CAPRI Small  Expandable Corpectomy Cage System</Name><Description>Vertebral Body Replacement</Description><Size>(13-16) x (16-20) mm – height 18-74mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>291618</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER350</BillingCode><Name>Ulrich Anterior Distraction Device System (ADDplus)-Telescopic cage</Name><Description>Ulrich Anterior Distraction System (ADDplus) telescopic cage, integral end plate, cervical.</Description><Size>dia 12 mm x collapsed height (13-40 mm) x expanded height (18-65 mm) x angle (0-18°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER184</BillingCode><Name>SIGNUS Poseidon/POSEIDON ST Vertebral Body Replacement System-Vertebral Body</Name><Description>SIGNUS POSIDON/POSEIDON ST Vertebral Body, porous titanium</Description><Size>Dia 16/20mm x (Height 12-89mm)    </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>216750</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW757</BillingCode><PriorBillingCodes><PriorBillingCode>ER210</PriorBillingCode></PriorBillingCodes><Name>Capri Vertebral Body Replacement System-Cage</Name><Description>Cage, Internal or External Component</Description><Size>23 - 122mm height, multiple footprints</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>204117</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER354</BillingCode><Name>Ulrich thoracolumbar body replacement system (ObeliscPro)-Telescoping cage</Name><Description>Ulrich thoracolumbar body replacement system (ObeliscPro)-Telescoping cage, thoracolumbar</Description><Size>dia 20 mm x collapsed height (17-76 mm) x expanded height (23-132 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC820</BillingCode><Name>T2</Name><Description>Expandable vertebral body replacement cage</Description><Size>Diameters: 13 - 31mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI298</BillingCode><Name>T2 Stratosphere Expandable Corpectomy System</Name><Description>Centrepiece</Description><Size>13-25mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB097</BillingCode><Name>FORTIFY R Corpectomy Spacer Core</Name><Description>Expandable corpectomy spacer</Description><Size>14mm -20mm  15mm-120mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB055</BillingCode><Name>Xpand Corpectomy Spacer System</Name><Description>Expandable corpectomy spacer</Description><Size>small, Medium, Large. 15-120mm in varying lordotic/kyphotic angles</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY794</BillingCode><Name>XRL</Name><Description>Expandable Vertebral Body</Description><Size>22 - 121mm Height</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB093</BillingCode><Name>FORTIFY Ti Corpectomy Spacer Core</Name><Description>Expandable corpectomy spacer</Description><Size>12mm, 16mm and 20mm x 15mm-135mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH576</BillingCode><Name>SAMSON - Expandable Vertebral Body Replacement - Center Piece</Name><Description>Center Piece</Description><Size>Height 20mm - 120mm  Diam 20mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>316057</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE756</BillingCode><Name>KONG-TL</Name><Description>KONG-TL VBR Extension with Screw</Description><Size>19mm Diameter, 20 &amp; 35mm Heights</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>345871</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE773</BillingCode><Name>KONG-TL</Name><Description>KONG-TL VBR Bodies</Description><Size>19mm Diameter:  19-23mm, 20-24mm, 22-29mm, 23-30mm, 27-37mm &amp; 33-49mm Heights  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>ThoracoLumbar</Suffix><ARTGs><ARTG>345871</ARTG></ARTGs><MinimumBenefit>3920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV102</BillingCode><Name>X-Core Mini</Name><Description>the NuVasive X-CORE Mini expandable VBR System is a vertebral body repalcement device for use in the spine (C3 to L5) to replace a diseased or damaged vertebral body caused by tumor or fracure, to restore height of a collapsed vertebral body, and to achieve decompression of the spinal cord and neural tissues,</Description><Size>15-80mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>Cervical</Suffix><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>2755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB066</BillingCode><Name>XP and R Corpectomy Spacer System</Name><Description>Expandable Corpectomy spacer</Description><Size>Small, Medium,15-88mm in varying lordotic/kyphotic angles</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4137</SubGroupID><Suffix>Cervical</Suffix><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>2755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV079</BillingCode><Name>X-CORE (End Cap)</Name><Description>End plate</Description><Size>Round 12-30mm x -8° to 16°; Rectangular 12-22mm x 15-60mm x -8° to 16°</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER185</BillingCode><Name>SIGNUS POSEIDON/POSEIDON ST Vertebral Body Replacement System-End Plate</Name><Description>SIGNUS POSEIDON/POSEIDON ST End Plate; porous titanium; </Description><Size>Dia (16mm) x (18 mm - 20mm) x (18 mm – 59 mm); lordosis 0°/ 5°/10°/15°/20°</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>216750</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER355</BillingCode><Name>Ulrich thoracolumbar body replacement system (ObeliscPRO)-End plates</Name><Description>Ulrich thoracolumbar body replacement system (ObeliscPRO)-End plates, various shapes</Description><Size>dia (20-32 mm) x angle (0-15°); oval (32x26 mm) x angle (0-15°); lateral length (35-55 mm) x angle (0-15°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>279702</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB098</BillingCode><Name>FORTIFY R Corpectomy Spacer Endplate</Name><Description>Expandable corpectomy spacer endplate</Description><Size>14-30mm X 14-25mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE757</BillingCode><Name>KONG-TL</Name><Description>KONG-TL VBR Endplates with Screw</Description><Size>26-52mm Lengths  20-29mm Widths  0,4, 8 &amp; 12 Degree Angles</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>345871</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH575</BillingCode><Name>SAMSON - Expandable Vertebral Body Replacement - End Plates</Name><Description>End Plates</Description><Size>L: 20mm W: 25-55mm A: 0-8 </Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>316057</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI299</BillingCode><Name>T2 Stratosphere Expandable Corpectomy System</Name><Description>End Cap</Description><Size>13-30mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB096</BillingCode><Name>FORTIFY Ti Corpectomy Spacer Endplate</Name><Description>Expandable  corpectomy spacer endplate</Description><Size>12 and 20mm x 12-50mm 0-12deg.  13mm Round, 16mm, 16mm Round,16mm Footprint. 16mm,  18mm Round, 18mm Footprint.  20mm Round, 20mm, 20mm Footprint. 12 X 13mm. 12mm X 13mm Footprint.  16 X 30mm Footprint, 16 x35mm Footprint, 16 x 40mm Footprint, 16 x 45mm Footprint, 18 x30mm Footprint, 18X 35mm Footprint, 18X40mm Footprint, 18 X 45mm Footprint</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY795</BillingCode><Name>XRL</Name><Description>Endplate</Description><Size>-10˚/+15˚ Degrees</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>133398</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB138</BillingCode><Name>Fortify I Integrated Corpectomy Spacer System - Endplates</Name><Description>PEEK and Titanium endplates</Description><Size>Lateral – 22mm X 40-50mm, 14mm X 14-16mm, 12-14mmX 14-16mm, 21x23mm and 25 X 30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1492</GroupID><SubGroupID>4138</SubGroupID><ARTGs><ARTG>190055</ARTG></ARTGs><MinimumBenefit>928</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG006</BillingCode><Name>MRP Titan Sleeve</Name><Description>Modular extension sleeve </Description><Size>Ø16mm x 30mm, Ø18mm x 30mm, Ø20mm x 30mm, Ø22mm x 30mm, Ø24mm x 30mm</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Spacer</Suffix><ARTGs><ARTG>327849</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO187</BillingCode><Name>Link MP Reconstruction Proximal Spacer</Name><Description>MP Reconstruction Proximal Spacer, CoCrMO</Description><Size>5 mm, 10 mm; 20 mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Spacer</Suffix><ARTGs><ARTG>245855</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG007</BillingCode><Name>MRP Trochanter</Name><Description>Body for Trochanteric attachment</Description><Size>Small &amp; Large</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>327880</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO026</BillingCode><Name>Link spacer</Name><Description>Titanium, grit blast, non HA </Description><Size>10mm - 40mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Spacer</Suffix><ARTGs><ARTG>114169</ARTG><ARTG>51002</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG008</BillingCode><Name>MRP Stems</Name><Description>Femoral stem component of a modular hip system</Description><Size>Ø13mm - Ø34mm    80mm - 140mm long</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>327850</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI081</BillingCode><Name>ARCOS Modular Revision Hip System</Name><Description>Grit Blast Distal Stems, non HA</Description><Size>Diameter (mm) 12-30  Length (mm) 150-190</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>274605</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK059</BillingCode><Name>Stryker Modular Revision Hip System</Name><Description>Titanium Alloy Bowed Conical Distal Stems</Description><Size>Restoration Modular bowed conical distal stem 195mm, 235mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>217729</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA500</BillingCode><Name>Modular Revision Stem</Name><Description>Titanium, grit blast, non HA</Description><Size>14mm x 140mm - 24mm x 140mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>274204</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG003</BillingCode><Name>MRP Titan Neck</Name><Description>Proximal femoral component</Description><Size>Small, Medium &amp; Large with standard 130º &amp; lateralised 123º options</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>327900</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC010</BillingCode><Name>Modulus Modular Femoral Stem</Name><Description>Modulus Modular Femoral Stem</Description><Size>Size A &amp; B x 13 to 26mm diameter</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>210668</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ841</BillingCode><Name>Reclaim Revision Hip System - Standard Distal Stem</Name><Description>Standard distal stem</Description><Size>14-31mm x 140-190mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>219278</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC030</BillingCode><Name>Revision Modular Femoral Stem</Name><Description>Revision Modular Femoral Stem Ti6A4I</Description><Size>14-26mm Diameter x 140mm Length</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>210670</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG011</BillingCode><Name>SMR Femoral Stem</Name><Description>SMR Distal Component less than 200mm</Description><Size>SMR Distal Components:  14 x 100mm, 15 x 100mm, 16 x 100mm, 17 x 100mm, 18 x 100mm, 19 x 100mm, 20 x 100mm, 21 x 100mm, 22 x 100mm, 24 x 100mm, 14 x 160mm, 15 x 160mm, 16 x 160mm, 17 x 160mm, 18 x 160mm, 19 x 160mm,  20 x 160mm,  21 x 160mm, 22 x 160mm,  24 x 160mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>277980</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA524</BillingCode><Name>Modular Revision Stem</Name><Description>Proximal body, grit Blasted Titanium</Description><Size>50-70mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>274207</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC027</BillingCode><Name>Revision Modular Femoral Body</Name><Description>Revision Modular Femoral Body 12/14 Taper with Locking Screw Ti6AI4V</Description><Size>Std &amp; Lat x 50-70mm - Body Height</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>210642</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG010</BillingCode><Name>SMR Modular Femoral Stem Proximal Body</Name><Description>Titanium, grit blast, non HA,</Description><Size>40 to 70mm, Standard and Filling</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>277843</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC009</BillingCode><Name>Modulus Femoral Body</Name><Description>Femoral Body 12/14 Taper CCD 125* to 130* - Ti6AI4V</Description><Size>A &amp; B x Small to Large</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>210669</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO020</BillingCode><Name>Link MP Reconstruction Hip Prosthesis</Name><Description>Titanium, Grit blast, femoral Body</Description><Size>Length 35-65 mm   Offset Standard, XXL lateral</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>223282</ARTG></ARTGs><MinimumBenefit>2401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO021</BillingCode><Name>Link MP Reconstruction Hip Prosthesis</Name><Description>Stem, grit blast, titanium non HA</Description><Size>12 - 25mm x 160mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3961</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>114169</ARTG><ARTG>51002</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY187</BillingCode><Name>Limb Preservation System</Name><Description>Beaded, 'Porocoat' Standard &amp; Trochanter Replacement</Description><Size>Neutral, 15deg Left &amp; Right in both styles</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3962</SubGroupID><Suffix>Body, Tumor</Suffix><ARTGs><ARTG>226872</ARTG><ARTG>226873</ARTG></ARTGs><MinimumBenefit>5867</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI739</BillingCode><Name>Segmental Trabecular Metal Femoral Component</Name><Description>00-5850-032-38 Proximal TM Femur, 38mm offset
00-5850-032-46 Proximal TM Femur, 46mm offset</Description><Size>28mm &amp; 46mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3962</SubGroupID><Suffix>Stem, Tumour</Suffix><ARTGs><ARTG>95938</ARTG></ARTGs><MinimumBenefit>4010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP982</BillingCode><Name>SROM ZTT Femoral Sleeve</Name><Description>Titanium, beaded without HA, proximal femoral cone</Description><Size>12A-24F</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3962</SubGroupID><Suffix>Cone</Suffix><ARTGs><ARTG>98085</ARTG><ARTG>98086</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH132</BillingCode><Name>ARCOS Modular Revision Hip System Short Distal Stems</Name><Description>Distal Stem bullet or slottedtip, porous plasma spray</Description><Size>&lt;200mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3964</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>274396</ARTG><ARTG>274398</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI971</BillingCode><Name>ARCOS Proximal Body</Name><Description>Plasma spray coated proximal bodies</Description><Size>Sizes A-F</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3964</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>222273</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH641</BillingCode><PriorBillingCodes><PriorBillingCode>OO099</PriorBillingCode></PriorBillingCodes><Name>Mutars RS revision system- Metaphyseal component</Name><Description>RS metaphyseal component</Description><Size>25mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3964</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>237292</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW604</BillingCode><Name>METS Total Femoral Link Component</Name><Description>Curved titanium link shaft</Description><Size>165mm, 225mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Stem, Tumour</Suffix><ARTGs><ARTG>259943</ARTG></ARTGs><MinimumBenefit>3591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ749</BillingCode><Name>SROM Femoral Stem</Name><Description>Titanium, fluted, distal polished femoral stem &amp; neck</Description><Size>Stem diameter: proximal 12 - 24mm, distal 6 - 19mm;   Size Standard, Stem Length: 115 - 175mm;   Neck Length: 30 - 42mm;   Offset: 0 - 12mm  </Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Stem, SCP</Suffix><ARTGs><ARTG>225291</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT034</BillingCode><PriorBillingCodes><PriorBillingCode>TZ036</PriorBillingCode></PriorBillingCodes><Name>Pantheon Cementless Stem</Name><Description>Titanium Fluted</Description><Size>Diameters 11-24mm, Lengths 115-145mm</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>389895</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF004</BillingCode><Name>ESOP HA</Name><Description>ESOP Femoral Stem Diaphyseal Ti polished</Description><Size>Size 9-15</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>141169</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK022</BillingCode><Name>Modular Revision System Fluted Distal Stems</Name><Description>Titanium, polished, fluted, no HA</Description><Size>Stem Lengths 127 &amp; 167mm straight &amp; bowed. Diameter 11-26mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>217755</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT023</BillingCode><PriorBillingCodes><PriorBillingCode>TZ027</PriorBillingCode></PriorBillingCodes><Name>Pantheon Bridging Collar</Name><Description>Ti6Al4V  additive manufactured porous collar  </Description><Size>Collar Diameters 26 - 36mm, for Stem diameters 10 to 24 mm, without or with plate attachment or cylindrical.</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Spacer, Tumour</Suffix><ARTGs><ARTG>340803</ARTG><ARTG>342977</ARTG></ARTGs><MinimumBenefit>3591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW605</BillingCode><Name>METS Principal Shaft</Name><Description>Titanium shaft</Description><Size>45mm-150mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Spacer, Tumour</Suffix><ARTGs><ARTG>246516</ARTG></ARTGs><MinimumBenefit>3591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK158</BillingCode><Name>Howmedica Modular Resection System</Name><Description>GMRS Proximal Femoral Component, Cast Chrome Cobalt</Description><Size>Standard, Trochanteric, Smooth</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>222995</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW600</BillingCode><Name>METS Smooth Trochanter</Name><Description>Titanium, uncoated</Description><Size>small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>276356</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH657</BillingCode><Name>Mutars Proximal Femur</Name><Description>Mutars Proximal Femur</Description><Size>50/70mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>319680</ARTG><ARTG>227163</ARTG><ARTG>284591</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI889</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Proximal Femoral Component, Letson or Finn, Elliptical, Low Profile, Anatomic, Ti</Description><Size>7cm Left or Right</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>291301</ARTG><ARTG>238435</ARTG><ARTG>238746</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO179</BillingCode><Name>MegaSystem-C, Neck Segments</Name><Description>Massive, titanium</Description><Size>(35 - 65mm) length, (135 or 126) degree neck angle</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>223281</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT032</BillingCode><PriorBillingCodes><PriorBillingCode>TZ034</PriorBillingCode></PriorBillingCodes><Name>Pantheon Proximal Body</Name><Description>Titanium alloy proximal body for Pantheon limb salvage system</Description><Size>Offset in Short, Medium, Long. Lengths 50 and 90 in Smooth or Flat</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>389891</ARTG><ARTG>389892</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW523</BillingCode><Name>Restoration Modular Body</Name><Description>Milled, Broached, Cone and Calcar body options</Description><Size>Milled: Dia 19-25mm with 2 mill Depths; 27-29mm with Mill Depths  Broach: 1-8  Cone: Diam 19-31mm, Heights +0, +10, +20, +30  Calcar: Diameter 19-29mm, 3 Heights each</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1413</GroupID><SubGroupID>3979</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>145600</ARTG><ARTG>145601</ARTG><ARTG>145602</ARTG><ARTG>145603</ARTG></ARTGs><MinimumBenefit>3793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI051</BillingCode><Name>Optimal Revision Stem</Name><Description>Cementless, modular revision / reconstruction stem</Description><Size>Sizes 1-5</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1413</GroupID><SubGroupID>3979</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>135326</ARTG></ARTGs><MinimumBenefit>4968</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR045</BillingCode><Name>Stryker Modular Revision Hip System</Name><Description>Modular Long Bowed Titanium Plasma HA Stem</Description><Size>Length 217mm, 267mm and 317mm. Diameter 11mm - 26mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1413</GroupID><SubGroupID>3979</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>145599</ARTG></ARTGs><MinimumBenefit>4968</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK092</BillingCode><Name>Stryker Hydroxyapatite coated cup with ceramic liner</Name><Description>Shell with Biolox forte ceramic liner</Description><Size>52-54mm OD</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4015</SubGroupID><Suffix>Shell &amp; Insert</Suffix><ARTGs><ARTG>205394</ARTG></ARTGs><MinimumBenefit>2760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF010</BillingCode><Name>Atlas Acetabular Cup System</Name><Description>Titanium, grit blast &amp; HA</Description><Size>Atlas Cup 40-74mm</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4015</SubGroupID><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>2191</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW015</BillingCode><Name>ABG 11Cup with Hydroxyapatite</Name><Description>Titanium, grit blast and HA for ceramic insert</Description><Size>Sizes 44mm to 66mm OD in 2mm increments</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4015</SubGroupID><ARTGs><ARTG>205384</ARTG></ARTGs><MinimumBenefit>2191</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST548</BillingCode><Name>Trident acetabular component system </Name><Description>Titanium, arc deposited,  with HA</Description><Size>40-82mm OD</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4015</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>145590</ARTG><ARTG>152442</ARTG><ARTG>145591</ARTG><ARTG>145592</ARTG><ARTG>152396</ARTG></ARTGs><MinimumBenefit>2191</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO032</BillingCode><Name>Link acetabular cup system</Name><Description>Titanium, grit blast, HA</Description><Size>40 - 68mm  Small, medium, large</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4015</SubGroupID><ARTGs><ARTG>212232</ARTG><ARTG>212117</ARTG></ARTGs><MinimumBenefit>2191</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN286</BillingCode><Name>Reflection</Name><Description>Acetabular Cup HA Coated Titanium Alloy, beaded</Description><Size>40-80mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4016</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>212782</ARTG><ARTG>223523</ARTG></ARTGs><MinimumBenefit>2398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY520</BillingCode><Name>Pinnacle Acetabular Shell</Name><Description>Titanium. Beaded with HA (Duofix) acetabular cup</Description><Size>48 - 66 mm  </Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4016</SubGroupID><ARTGs><ARTG>221678</ARTG><ARTG>221677</ARTG></ARTGs><MinimumBenefit>2398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV033</BillingCode><Name>Procotyl L  Acetabular Cup</Name><Description>Beaded, Titanium HA coated cup</Description><Size>42 - 68mm
A-G</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4016</SubGroupID><ARTGs><ARTG>285236</ARTG></ARTGs><MinimumBenefit>2398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI035</BillingCode><Name>Trilogy Acetabular Cup</Name><Description>Titanium mesh (fibre metal) with HA for UHMPE insert</Description><Size>36 - 80</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4017</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>267446</ARTG><ARTG>213174</ARTG></ARTGs><MinimumBenefit>2210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC167</BillingCode><Name>Met Acetabular Cup</Name><Description>Met Acetabular Cup CoCrMo + Poro + HA</Description><Size>42 - 64mm OD x 38 - 58mm ID</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>222644</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU022</BillingCode><Name>Versafitcup Dual Mobility Acetabular Shell</Name><Description>Stainless steel, with titanium plasma coating and HA, and polished inner surface for dual articulation</Description><Size>from diameter 46mm to 64mm in 2mm increments</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>208323</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK028</BillingCode><PriorBillingCodes><PriorBillingCode>GO233</PriorBillingCode></PriorBillingCodes><Name>Novae Dual Mobility Cup</Name><Description>A cementless metal acetabular dual mobility cup designed to be used with a polyethylene liner.</Description><Size>41mm to 73mm diameter in 2mm increments</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>296616</ARTG><ARTG>296615</ARTG><ARTG>296620</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN002</BillingCode><PriorBillingCodes><PriorBillingCode>RL007</PriorBillingCode></PriorBillingCodes><Name>Permedica JUMP System Acetabular Cup HaX-Pore - Acetabular Shell</Name><Description>This acetabular component is for un-cemented applications and is coated with a titanium plasma spray and hydroxyapatite coating.  Anchorage of the device to the bone is by press-fit insertion which can be augmented with cancellous bone screws and the screw holes can be sealed with special plugs.  The acetabular shell is a hemispherical shape with polar deflection and is used in combination with an articular liner, a femoral ball head and a femoral stem.</Description><Size>44mm - 70mm in 2mm increments</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>234000</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH436</BillingCode><Name>Samo Acetabular Cup</Name><Description>Acetabular cup</Description><Size>40 - 70</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI061</BillingCode><Name>Saturne Press Fit Dual Mobility Acetabular Cup</Name><Description>A cementless, stippled and peripherally expanded, acetabular cup.  Flattened pole and an elevated rim to help prevent dislocation.</Description><Size>Sizes: 44 - 64 in 2mm increments</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>216969</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF038</BillingCode><Name>Logical ™ Acetabular Shell</Name><Description>Titanium, plasma spray, HA with variable number of holes</Description><Size>42-72mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>266797</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM024</BillingCode><Name>EP Fit Acetabular Shell</Name><Description>Titanium, plasma spray,  and HA, with variable number of holes for UHMWPE,ceramic &amp; metal inserts</Description><Size>40 - 68mm Dia</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>223820</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN347</BillingCode><Name>BI-MENTUM Dual Mobility System</Name><Description>Press-Fit cementless metal acetabular dual mobility cup, designed to be used with a polyethylene liner.</Description><Size>43mm to 69mm diameter in 2mm increments</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>363113</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG001</BillingCode><Name>Fin II Acetabular Shell</Name><Description>titanium, Plasma sprayed, HA, with variable screw options</Description><Size>44 to 72mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>279500</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB243</BillingCode><Name>Plasmacup</Name><Description>Titanium, plasma, HA</Description><Size>44mm-68mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>297211</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC166</BillingCode><Name>Delta PF Acetabular Cup</Name><Description>Delta PF Acetabular Cup Ti6AI4V + Poro + HA</Description><Size>44 - 76mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>210795</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI987</BillingCode><Name>G7 Acetabular Shell</Name><Description>Acetabular Shell, porous plasma, HA</Description><Size>42-68mm in 2mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>231250</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM131</BillingCode><Name>POLAR CUP ACETABULAR Cementless Shell</Name><Description>Stainless steel with titanium plasma spray coating and HA and pegs &amp; flanges, that has polished inner surface for dual mobility with constrained UHMWPE liner/head</Description><Size>43-67MM</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><Suffix>Flange</Suffix><ARTGs><ARTG>148672</ARTG></ARTGs><MinimumBenefit>2600</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR242</BillingCode><Name>Dual Mobility Cup, shell uncemented</Name><Description>Acetabular shell titanium Plasma spray + HA, flanges and/or hook.</Description><Size>42 to 68mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><Suffix>Flange</Suffix><ARTGs><ARTG>210209</ARTG><ARTG>210210</ARTG><ARTG>210208</ARTG></ARTGs><MinimumBenefit>2600</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU008</BillingCode><Name>Versafitcup Acetabular Shell</Name><Description>Titanium, plasma spray, with HA, variable holes</Description><Size>40 to 64</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>209003</ARTG><ARTG>215938</ARTG><ARTG>215939</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR165</BillingCode><Name>Trinity Acetabular Cup</Name><Description>Tri-liner hemispherical shell. Titanium (Ti6A14V) material with Titanium and HA coated plasma spray</Description><Size>44 - 68 mm in 2mm increments</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK500</BillingCode><Name>Restoration ADM Cup (Anatomic Dual Mobility) Cup</Name><Description>Chobalt-Chome; HA Coated; Anatomic Dual Mobility Cup</Description><Size>48-64mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>205438</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO152</BillingCode><Name>BetaCup Cementless Acetabular Cup System</Name><Description>UHMWPE Insert</Description><Size>26mm&gt;</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>140650</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH435</BillingCode><Name>Samo acetabular cup poly insert</Name><Description>X linked poly insert</Description><Size>22 - 36</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST561</BillingCode><Name>Strker Omnifit/SecurFit Acetabular Insert</Name><Description>Series I and II inserts, UHMPE</Description><Size>22 - 36mm ID for cups 40 - 80mm OD</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>225228</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA419</BillingCode><Name>SeleXys Acetabular UHMWPE Liner</Name><Description>UHMWPE</Description><Size>44mm-72mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>274137</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR228</BillingCode><Name>Dual Mobility Cup, Liner</Name><Description>Acetabular Liner UHMWPE</Description><Size>Head 22.2mm or 28mm, Diameter 42 mm to 68mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>312410</ARTG><ARTG>383312</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF011</BillingCode><Name>Atlas Acetabular Cup System</Name><Description>liner polyethylene liner, Titanium &amp; HA</Description><Size>Atlas Poly Insert Std. Dia 28 and 32mm</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB237</BillingCode><Name>Plasmacup PE insert</Name><Description>UMHPE unmodified liner</Description><Size>44mm-68mm diameters, 22.2mm-32mm articulations</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>296146</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO033</BillingCode><Name>Link acetabular Insert</Name><Description>UHMWPE Insert, Cross-linked</Description><Size>28mm - 36mm  Small, medium, large</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>212120</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU010</BillingCode><Name>Medacta UHMWPE Liner</Name><Description>UHMWPE</Description><Size>Internal diameter 22,28,32 mm, hooded &amp; neutral, hooded &amp; neutral</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4020</SubGroupID><ARTGs><ARTG>211169</ARTG><ARTG>132458</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC170</BillingCode><Name>Delta Non Constrained Liner</Name><Description>Delta Non Constrained Liner UHMWPE X Lima Ti6AI4V Neutral and Protruded</Description><Size>Diameter (mm) 28 to 40  Size Small to Extra Large  Shape Neutral  Shape Protruded</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>218819</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF027</BillingCode><Name>Cross Linked Acetabular Liner</Name><Description>Highly Cross linked Acetabular Liner</Description><Size>Liner Neutral: Group 1: 28mm ID, Group 2: 28mm IS, 32mm ID, Group 3: 32mm ID, 36mm ID; Group 4: 32mm, 36mm, Group 5: 32mm, 36mm, Liner "Lipped": Group 1: 28mm, Group2: 28mm, 32mm, Group 3: 36mm, Group 4: 32mm, 36mm, Group 5: 36mm, Liner "+5 Lateralised" G</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>277875</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT005</BillingCode><PriorBillingCodes><PriorBillingCode>TZ007</PriorBillingCode></PriorBillingCodes><Name>Adler PE Acetabular Liners</Name><Description>XLPE Liners - for Fixa Cups</Description><Size>Neutral, 15 degree, in 22,28,32,36mm ID,   </Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>208840</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI969</BillingCode><Name>Vivacit-E  Highly Crossed Linked Polyethylene Liner</Name><Description>Highly Crossed Linked Polyethylene Liner</Description><Size>22-40mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>273105</ARTG><ARTG>273104</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR267</BillingCode><Name>Dual Mobility Cup (MobiliT), Liner</Name><Description>Acetabular Liner ECiMa</Description><Size>Head 22.2mm or 28mm, Diameter 42 mm to 68mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>383768</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST549</BillingCode><Name>Trident acetabular component system</Name><Description>Trident polyethlene liner, enhanced polyethlene</Description><Size>22, 26, 28, 32mm dia</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>219397</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA006</BillingCode><Name>Xonit X-PE Acetabular Liner</Name><Description>Highly Cross-Linked Acetabular Insert</Description><Size>Standard/Dysplasia:
39-52mm/28mm
39-52mm/32mm
44-52mm/36mm
48-52mm/40mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>285483</ARTG><ARTG>285959</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR216</BillingCode><Name>Trinity ECiMA Liner</Name><Description>Cross linked polyethylene with vitamin E</Description><Size>Size 1-5, 28mm, 32mm, 36mm, 40mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>210774</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ766</BillingCode><Name>REDAPT Revision Cemented XLPE Liner</Name><Description>Cemented XLPE Liner</Description><Size>48-80 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>463427</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG008</BillingCode><Name>FIN XLPE Liner</Name><Description>A cup liner made from Cross-linked UHMWPE (Ultra High Molecular Weight Polyethylene) for use in hip prostheses systems.</Description><Size>Inner 28mm-5°, DIA 44/46
Inner 32mm-5°, DIA 48/50
Inner 32mm-5°, DIA 52/54
Inner 32mm-5°, DIA 56/58 
Inner 36mm-5°, DIA 52/54
Inner 36mm-5°, DIA 56/58
Inner 36mm-5°, DIA 60/72 
Inner 40mm-5°, DIA 60/72 
Inner 28mm-0°, DIA 44/46 
Inner 32mm-0°, DIA 48/50
Inner 32mm-0°, DIA 52/54 
Inner 32mm-0°, DIA 56/58
Inner 36mm-0°, DIA 52/54
Inner 36mm-0°, DIA 56/58
Inner 36mm-0°, DIA 60/72
Inner 40mm-0°, DIA 60/72</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>308933</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN348</BillingCode><Name>BI-MENTUM Dual Mobility System</Name><Description>Polyethylene liner </Description><Size>22.2mm heads: 41 - 69mm diameter in 2mm increments,   28mm heads: 47 - 69mm diameter in 2mm increments</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>363212</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY210</BillingCode><Name>Pinnacle Acetabular Cross Linked UHMWPE Insert</Name><Description>UHMWPE, highly cross linked insert</Description><Size>22-48mm ID</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>232174</ARTG><ARTG>225791</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC171</BillingCode><Name>SPH Constrained Poly Liner</Name><Description>SPH Constrained Poly Liner UHMWPE protruded 20*</Description><Size>Protruded Liners
ID 28mm X Size XXA, A, B, C, D, E
ID 32mm x Size B, C, D, E

Neutral Liners
ID 28mm X Size XXA, A, B, C, D, E
ID 32mm x Size B, C, D, E</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>222629</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF039</BillingCode><Name>Logical™ Acetabular Liner</Name><Description>HCLA (highly Cross-Linked and Annealed) Acetabular Insert</Description><Size>28mm, 32mm, 36mm, 40mm diameter; Neutral, 10 and 20 degree; Size range 44mm to 72mm, including laterialised liners</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>277875</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR067</BillingCode><Name>Anatomic X3 Liners</Name><Description>Anatomic X3 Liner with constraint</Description><Size>36mm, 40mm, 44mm, 48mm and 52mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>230931</ARTG><ARTG>219398</ARTG><ARTG>220404</ARTG></ARTGs><ChangeExplanation>Change to Change to Group benefit</ChangeExplanation><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ314</BillingCode><Name>G7 Vivacit E Liners</Name><Description>Highly cross linked PE liner with Vit E</Description><Size>28 mm to 44 mm in 4mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>430900</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV026</BillingCode><Name>Procotyl L System /poly liner</Name><Description>Rim-Lock
A-Class Crosslinked Liners
Standard, Lipped</Description><Size>28-36mm
B-G</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>265521</ARTG><ARTG>265522</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN003</BillingCode><PriorBillingCodes><PriorBillingCode>RL008</PriorBillingCode></PriorBillingCodes><Name>Vital-XE Acetabular Liner</Name><Description>Crosslinked UHWMPE with Vitamin E</Description><Size>28mm, 32mm, 36mm, 40mm,   Angles 0, 10, 20 degrees.</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>382990</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD044</BillingCode><Name>FMP Acetabular System - Acetabular Cup Insert UHMWPE</Name><Description>Acetabular cup inserts, UHMWPE compression moulded and cross-linked.  28-44mm Internal Diameters available in 0-degree (neutral), 10-degree hooded and 20-degree hooded options and +5mm offset options</Description><Size>ID of 28mm - 44mm to suit Acetabular shells of OD 40mm-80mm
0,10,20-degree hooded and non-hooded.
+5mm Offset</Size><SupplierCode>DD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>209548</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU019</BillingCode><Name>Medacta Highly Crosslinked UHMWPE Liner</Name><Description>Highly Crosslinked UHMWPE</Description><Size>Internal diameter 22, 28,32,36, 40 mm neutral &amp; hooded, 4mm offset, face changing 10 degrees</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>209250</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM029</BillingCode><Name>EP Fit &amp; MPF Highly cross linked UHMWPE Insert</Name><Description>Modified UHMWPE</Description><Size>40-68mm Dia, all head sizes</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>342565</ARTG><ARTG>222566</ARTG><ARTG>342564</ARTG><ARTG>222567</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI126</BillingCode><Name>Austral XL Polyethylene Liner</Name><Description>XL Polyethylene Liner</Description><Size>Neutral and Hooded  44/28mm - 52/28mm; 48/32mm - 64/32mm; 52/36mm - 68/36mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>386912</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH697</BillingCode><PriorBillingCodes><PriorBillingCode>OO149</PriorBillingCode></PriorBillingCodes><Name>Implacross PE liner</Name><Description>PE Liner for LUMiC acetabula reconstruction system</Description><Size>0,15 and 15 with 4mm offset. 39 - 52 external diameter</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>277989</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI124</BillingCode><Name>C2 Cross-Linked PE Liner</Name><Description>Neutral and Hooded Cross-Linked PE Liner</Description><Size>ID 32mm and 36mm  Sizes 48mm to 68mm (Neutral and Hooded)</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>379311</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB377</BillingCode><Name>Vitelene PE Cup Insert</Name><Description>Highly cross-linked polyethylene liner stabilised with vitamin E</Description><Size>22.2mm - 40mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>297205</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI972</BillingCode><Name>E-Poly HXLPE Liner</Name><Description>Highly cross linked PE liner, stabilised with Vit E</Description><Size>28mm to 44mm in 4mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>98098</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI620</BillingCode><Name>Continuum Acetabular System</Name><Description>HXPE Liner (Highly Cross Linked) - Neutral, Elevated, Offset and Oblique</Description><Size>28mm Neutral - EE to QU; 32mm Neutral GG to VV; 36mm Neutral II to W; 40mm Neutral KK to VV; 22mm Elevated - CC to FF; 28mm Elevated EE to QU; 32mm Elevated GG to VV; 36mm Elevated II to VV; 28mm 7 mm Offset CC28 to QU28; 32mm 7mm Offset EE32 to QU32; 36m</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>231320</ARTG><ARTG>231319</ARTG><ARTG>231010</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK318</BillingCode><Name>X3 Trident Acetabular Inserts</Name><Description>Modified UHMPE</Description><Size>Inner diameters: 22mm, 26mm, 28mm 32mm, 36mm, 38 - 64mm.  For outer diameter shells 40mm - 80mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>220404</ARTG><ARTG>230931</ARTG><ARTG>219398</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST931</BillingCode><Name>Stryker Acetabular Insert</Name><Description>Enhanced Polyethylene insert</Description><Size>22 - 36mm ID</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>205393</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA503</BillingCode><Name>Selexys Acetabular Cup Liner</Name><Description>Insert / Liner, modified polyethylene.  Highly crossed link polyethylene, stabilised with Vit E.</Description><Size>Articulation 28, 32, 36mm; Cup size AA to LL (42 to 70mm)</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>274134</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR163</BillingCode><Name>Trinity polyethylene liner</Name><Description>Highly cross linked Polyethylene liner in neutral +4mm offset +4mm oblique and 4mm elevated wall variants for use with the Trinity acetabular multi-bearing shell</Description><Size>28mm, 32mm, 36mm, 40mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST546</BillingCode><Name>Stryker Acetabular Crossfire Insert</Name><Description>Modified UHMPE</Description><Size>22 -36mm  ID</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>290924</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA067</BillingCode><PriorBillingCodes><PriorBillingCode>ZI045</PriorBillingCode><PriorBillingCode>ZI046</PriorBillingCode><PriorBillingCode>ZI047</PriorBillingCode><PriorBillingCode>ZI048</PriorBillingCode></PriorBillingCodes><Name>Longevity XLPE Acetabular liner</Name><Description>XLPE Acetabular liner</Description><Size>35-80mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>230853</ARTG><ARTG>240575</ARTG><ARTG>226197</ARTG><ARTG>284918</ARTG><ARTG>231596</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI357</BillingCode><Name>Alpha Durasul Insert</Name><Description>UHMPE modified </Description><Size>22mm x 42 to 28mm x 68</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>226717</ARTG><ARTG>230651</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN291</BillingCode><Name>Reflection/ Reflection3 (R3)</Name><Description>Acetabular Liner XLPE modified UHMPE</Description><Size>22 - 44mm inner diameter, 42 - 80mm outer diameter</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>218151</ARTG><ARTG>230903</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO151</BillingCode><Name>Link Acetabular Cup System</Name><Description>Ceramic Insert</Description><Size>32mm -40mm  Small, medium, large</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>212119</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH437</BillingCode><Name>Samo acetabular cup ceramic insert</Name><Description>Ceramic insert</Description><Size>28 - 40</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT006</BillingCode><PriorBillingCodes><PriorBillingCode>TZ008</PriorBillingCode></PriorBillingCodes><Name>Adler Ceramic Acetabular Liners</Name><Description>Ceramic Liners - for Fixa Cups</Description><Size>Delta, 28,32,36 &amp; 40 mm ID</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>206130</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI073</BillingCode><Name>G7 Ceramic Neutral Acetabular liner - Ceramic acetabular liner</Name><Description>Biolox Delta Ceramic Liners</Description><Size>28mm to 40mm in 4mm increments</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>231256</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST565</BillingCode><Name>Alumina acetabular inserts</Name><Description>Ceramic insert, alumina</Description><Size>28, 32 &amp; 36mm dia</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>217830</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI076</BillingCode><Name>Horizon II Delta Ceramic Insert</Name><Description>Ceramic Insert, Biolox Delta</Description><Size>9 sizes for 28, 32 and 36mm heads</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>223258</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH688</BillingCode><PriorBillingCodes><PriorBillingCode>OO139</PriorBillingCode></PriorBillingCodes><Name>Implantcast delta ceramic liner</Name><Description>Biolox delta cup liner</Description><Size>32/39, 32/44,36/44, 32/48,36/48,32/52, 36/52, 40/48, 40/52</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>233781</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF009</BillingCode><Name>Atlas Acetabular Cup System</Name><Description>liner - ceramic and poly 'Titanium &amp; HA</Description><Size>Atlas Alumina Insert Dia 28mmort</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><Suffix>Sandwich</Suffix><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW485</BillingCode><Name>MDM CoCr Liner</Name><Description>Modular Dual Mobility (MDM) CoCr Liner</Description><Size>The MDM CoCr Liner comes in a range of inner diameters of 36mm - 58mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>217674</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA077</BillingCode><Name>G7 Dual Mobility CoCr Liner</Name><Description>CoCr Liner</Description><Size>32-60mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>285123</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH682</BillingCode><PriorBillingCodes><PriorBillingCode>OO171</PriorBillingCode></PriorBillingCodes><Name>ACCIS Insert (15 degrees)</Name><Description>ACCIS liner (15 degrees) for use with MUTARS RS and LUMIC Cup</Description><Size>38/39, 42/44, 46/48, 50/52mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><Suffix>Revision/Tumour</Suffix><ARTGs><ARTG>281539</ARTG></ARTGs><MinimumBenefit>2140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC012</BillingCode><Name>Lima Cup </Name><Description>Metal Liner</Description><Size>28mm, 32mm and 36mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>216035</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR164</BillingCode><Name>Trinity Metal Liner</Name><Description>Metal liner for use with the Trinity acetabular shell</Description><Size>35mm,40mm,42.5mm, 45mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>312411</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF186</BillingCode><Name>SignaSure Dual Mobility Insert</Name><Description>SignaSure Dual Mobility CoCr Metal Insert is used with Logical-G  Series Shell and SignaSure Poly Cup to create a modular Dual Mobility Acetabular Assembly for use with Metal or Ceramic Femoral heads for use during for Total Hip Replacement.    </Description><Size>A - 34 /for Logical Shell 44-46mm  B - 38 /for Logical Shell 48-50mm  C - 41 /for Logical Shell 52-54mm  D - 45 /for Logical Shell 56-58mm  E - 48 /for Logical Shell 60-70mm  </Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>277875</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK029</BillingCode><PriorBillingCodes><PriorBillingCode>GO234</PriorBillingCode></PriorBillingCodes><Name>Novae Double Mobility Cup Insert</Name><Description>A cementless metal acetabular dual mobility cup designed to be used with a polyethylene liner.</Description><Size>22mm x 43 - 69mm diameter in 2mm increments  28mm x 47 - 69mm diameter in 2mm increments</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4023</SubGroupID><ARTGs><ARTG>282775</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK501</BillingCode><Name>Restoration Anatomic Dual Mobility Polyethylene Insert</Name><Description>The polyethylene insert for the Restoration ADM component articulates with the highly polished inner surface of the Restoration ADM cup and is articul;ated with a standard cobalt-chrome or ceramic 28mm diameter femoral head</Description><Size>Outer Diameter 36mm - 64mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>211464</ARTG><ARTG>205711</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI568</BillingCode><Name>Trilogy Acetabular System</Name><Description>Longevity Constrained Liner</Description><Size>50/52/54mmODx28mmID; 56mmODx32mmID; 58mmODx32mmID; 60mmODx36mmID; 62mmODx36mmID; 64mmODx36mmID; 66mmODx36ID; 68mmODx36mmID; 70mmODx36mmID; 72mmODx36mmID; 74mmODx36mmID; 76mmODx36mmID; 78mmODx36mmID; 80mmODx36mmID</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>218867</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST539</BillingCode><Name>Constrained acetabular insert </Name><Description>UHMPE &amp; cobalt chrome bipolar constrained insert</Description><Size>22, 26, 28, 32mm dia</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>217730</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ327</BillingCode><Name>Vivacit E Dual Mobility Liners</Name><Description>Vitamin E UHMWPE Dual Mobility Liner  </Description><Size>ID: 22.2mm to 28mm, OD: 32mm to 60mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>430899</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH041</BillingCode><Name>Avantage Dual Mobility Acetabular Cup Inlay</Name><Description>UHMWPE Dual Mobility Liner</Description><Size>OD: 44 – 66mm and ID: 22.25mm and 28mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>230318</ARTG><ARTG>230317</ARTG><ARTG>294052</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI878</BillingCode><Name>Freedom Constrained Liner</Name><Description>Constrained Acetabular Liner - UHMWPE, Ti</Description><Size>23mm to 62mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>223315</ARTG><ARTG>231253</ARTG><ARTG>225460</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI092</BillingCode><Name>Mallory Head Hip System</Name><Description>Acetabular Liner,  Constrained, Ringloc, UHMWPE</Description><Size>28-38mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>98097</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI561</BillingCode><Name>Trabecular Metal Acetabular Revision System</Name><Description>Cemented Constrained Liner</Description><Size>50x28mm; 52x28mm; 54x32mm; 56x32mm; 58x36mm; 60x36mm; 66/68/70x36mm; 72/74x36mm; 76/78/80x36mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>231529</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF187</BillingCode><Name>SignaSure Dual Mobility Poly</Name><Description>The SignaSure DM Poly is a modified cross linked UHMWPE (XLPE) constrained dual mobility liner  used with SignaSure Cemented/Cementless Cups as well as the other cementless shells (i.e., Logical G-Series) when used in conjunction with the SignaSure Dual Mobility Metal Inserts.  </Description><Size>Available in size range of 37 - 41 mm (outer diameter) for use with 22 mm Femoral Heads and 39 - 59 mm (outer diameter) for use with 28 mm Femoral Heads</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>277875</ARTG></ARTGs><ChangeExplanation>Change to Change to Group benefit, Description, Size</ChangeExplanation><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN856</BillingCode><Name>R3 Acetabular System</Name><Description>XLPE Constrained Acetabular liner</Description><Size>40-78mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>260953</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH623</BillingCode><PriorBillingCodes><PriorBillingCode>OO036</PriorBillingCode></PriorBillingCodes><Name>IC Polaric head</Name><Description>IC Polaric head</Description><Size>38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>281540</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST932</BillingCode><Name>Stryker Trident Constrained Acetabular Insert</Name><Description>Two pre assembled components: Outer insert component and a captured UHR (Universal Head) component.  Composition - Cobalt chrome alloy and UHMWPE (ultra high molecular weight polyethylene) with a Titanium 6A1-4V ELI alloy retaining ring</Description><Size>Sizing 22 - 32mm in 0 degrees &amp; 10 degrees</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><Suffix>Cup &amp; Ring</Suffix><ARTGs><ARTG>235283</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF037</BillingCode><Name>Logical™ Constrained Acetabular Liner</Name><Description>highly cross linked and annealed constrained liner</Description><Size>28mm, 32mm  36mm Diameter Neutral, 10 degree and 20 degree size range 44mm to 72mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>297186</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP014</BillingCode><Name>Pinnacle Constrained Inserts</Name><Description>UHMWPE, constrained liner with titanium alloy locking ring</Description><Size>Inner diameter 28-44mm, 36-76mm outer diameter</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><Suffix>Cup &amp; Ring</Suffix><ARTGs><ARTG>222179</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI737</BillingCode><Name>LONGEVITY CONSTRAINED LINER</Name><Description>Longevity HXPE constrained Liner with Titanium Alloy Locking Ring</Description><Size>Inner Diameter: 28mm, 32mm and 36mm head size.  Outer Diameter 50mm to 80mm shell size in 2mm increments.</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><Suffix>Cup &amp; Ring</Suffix><ARTGs><ARTG>230336</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN689</BillingCode><Name>Reflection</Name><Description>Constrained Acetabular Liner unmodified UHMWPE</Description><Size>22 - 32mm, 42 - 76mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>218152</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU098</BillingCode><Name>Versafitcup HX UHMWPE Constrained Liner</Name><Description>HighCross UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell</Description><Size>From Ø 42 to Ø 64mm for head Ø 22mm. From Ø 48 to Ø 64mm for head Ø 28mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>208705</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM135</BillingCode><Name>POLAR Dual Mobility Constrained Highly Cross Linked Liner</Name><Description>Modified UHMWPE</Description><Size>FOR '22.2-28MM Head sizes and 43-72MM diameter shells</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>231322</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU024</BillingCode><Name>Versafitcup UHMWPE  Constrained Liner</Name><Description>UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell</Description><Size>For head diameter 22mm sizes 42 - 64mm. For head diameter 28mm sizes 48 - 64mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>208308</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI045</BillingCode><Name>Saturne acetabular liner</Name><Description>Polyethylene liner for double mobility cup</Description><Size>42/22- 66/22 (13 sizes)  48/28- 66/28 (10 sizes)</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>217778</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY512</BillingCode><Name>Pinnacle Acetabular Cup System</Name><Description>Pinnacle ceramic liner</Description><Size>44 - 66mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>223381</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM143</BillingCode><Name>EP fit &amp; MPF Delta Ceramic Insert</Name><Description>Ceramic Delta Acetabular Liners</Description><Size>44mm-72mm *28mm - 44mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>222565</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG004</BillingCode><Name>Contile Fin II Acetabular Biolox Delta Ceramic Liners</Name><Description>Contile Fin II Acetabular Biolox Delta Ceramic Liner inserts 28mm,32mm, 36mm &amp; 46mm</Description><Size>Inserts 28mm 44mm to 46mm, Inserts 32mm 48mm to 66mm, Inserts 36mm 52mm to 66mm, Inserts 40mm 56mm to 66mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>281318</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC168</BillingCode><Name>Delta Ceramic Liner Biolox Delta</Name><Description>Delta Ceramic Liner Biolox Delta</Description><Size>28 - 40mm ID x Small to Large</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>210724</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF031</BillingCode><Name>Biolox Delta Acetabular Liner</Name><Description>Biolox Delta ceramic acetabular liner</Description><Size>28mm, 32mm, 36mm, 40mm, 44mm, 48mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>276016</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU013</BillingCode><Name>Delta Ceramic Liners</Name><Description>Ceramic, Delta</Description><Size>28mm (A to G), 32mm (C to G), 36mm (E to G), 40mm (F to G)</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>205457</ARTG><ARTG>140177</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN006</BillingCode><PriorBillingCodes><PriorBillingCode>RL003</PriorBillingCode></PriorBillingCodes><Name>MAC Surgical Delta Ceramic Liner</Name><Description>Biolox delta ceramic liner</Description><Size>Available in 10 different sizes (4 diameters for the articulating surface)</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>230838</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV029</BillingCode><Name>Procotyl L Delta Ceramic Liner</Name><Description>Rim-Lock Biolox
Delta Ceramic Liners</Description><Size>28-40mm
A-G</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>273669</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG010</BillingCode><Name>Acetabular Liner Ceramic</Name><Description>Ceramic Acetabular Liner</Description><Size>28/35G, 32/39G, 32/44G, 36/44G,  32/48G, 36/48G, 32/52G, 36/52G</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>326320</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB235</BillingCode><Name>Biolox Delta Ceramic Liner</Name><Description>Biolox Delta Liner</Description><Size>28, 32, 36 &amp; 40mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>296145</ARTG><ARTG>296141</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI621</BillingCode><Name>Continuum Acetabular System</Name><Description>Biolox Delta Taper Ceramic Liner</Description><Size>28mm: EE28 to HH28; 32mm: GG32 to JJ32; 36mm: II36 to TT36; 40mm: KK40 to VV40</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>209626</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA486</BillingCode><Name>SeleXys Acetabular Ceramys Ceramic Liner</Name><Description>Ceramys ceramic (zirconia &amp; alumina combination)</Description><Size>28/AA, 28/BB, 28/CC, 28/DD, 32/CC, 32DD, 32/EE, 32/FF,36/EE, 36/FF, 36/GG, 386HH,36/II, 36/JJ, 36/KK, /36/LL</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>274136</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN855</BillingCode><Name>R3 Acetabular system</Name><Description>Delta Ceramic Liner</Description><Size>40-78mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><Suffix>Ring</Suffix><ARTGs><ARTG>218185</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA005</BillingCode><Name>Biolox Delta Acetabular Liner</Name><Description>Biolox Delta ceramic acetabular liner</Description><Size>28mm, 32mm, 36mm, 40mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>285506</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR158</BillingCode><Name>Biolox Delta Acetabular Liner</Name><Description>Biolox Delta ceramic acetabular liner</Description><Size>28mm, 32mm, 36mm, 40mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4025</SubGroupID><ARTGs><ARTG>157687</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL047</BillingCode><Name>Genesis II Oxinium</Name><Description>Genesis II Femoral component, Oxinium, cemented</Description><Size>Left / Right 1-9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3911</SubGroupID><Suffix>Ceramic Surface, SCP</Suffix><ARTGs><ARTG>207016</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL048</BillingCode><Name>Legion Oxinium</Name><Description>Legion Femoral component, Oxinium, cemented</Description><Size>Left / Right 1-9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3911</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>224561</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN987</BillingCode><Name>Genesis II Oxinium</Name><Description>Genesis II Femoral Component, cemented, posterior stabilised, Oxinium</Description><Size>Left / Right 1-9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3912</SubGroupID><Suffix>Ceramic Surface, SCP</Suffix><ARTGs><ARTG>207011</ARTG></ARTGs><MinimumBenefit>3751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL167</BillingCode><Name>Journey II BCS Femoral Oxinium</Name><Description>Femoral component, Oxinium, cemented</Description><Size>1-10, Left/Right</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3912</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>370843</ARTG></ARTGs><MinimumBenefit>3751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN988</BillingCode><Name>Legion Oxinium</Name><Description>Femoral Component, cemented, posterior stabilised, Oxinium</Description><Size>Left / Right 1-9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3912</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>224562</ARTG></ARTGs><MinimumBenefit>3751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN736</BillingCode><Name>Legion Knee System Femoral Component</Name><Description>Femoral Component, Oxinium, Cemented, totally constrained</Description><Size>Size 1 - 9</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3913</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>210518</ARTG></ARTGs><MinimumBenefit>6541</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD018</BillingCode><Name>3D Knee System Femoral Component </Name><Description>Femoral Component, uncemented,  beaded, CoCr</Description><Size>Size 2 to 12</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>161909</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV042</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Uncemented, beaded, CoCr</Description><Size>1-8
Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>290173</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH601</BillingCode><PriorBillingCodes><PriorBillingCode>OO002</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - Femoral component porous coated</Name><Description>Porous coated resurfacing femoral component</Description><Size>Left/Right 1-6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>265596</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU038</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral component, uncemented, CoCr, titanium plasma spray</Description><Size>1 - 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>204254</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR287</BillingCode><PriorBillingCodes><PriorBillingCode>GO195</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Femoral Component Porous Coated</Name><Description>Femoral Component Porous Coated Size 1 to 6 left &amp; Right.</Description><Size>Sizes 1-6, 1+, 2+, 3+, 4+, 5+, 6+ in Left &amp; Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>286880</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY373</BillingCode><Name>LCS Complete Knee System femoral component</Name><Description>Femoral component, uncemented, Porocoat, beaded Titanium with TiN surface treatment </Description><Size>Sizes MED - LG+</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><Suffix>Ceramic Surface, SCP</Suffix><ARTGs><ARTG>220219</ARTG></ARTGs><MinimumBenefit>3357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA457</BillingCode><Name>Balansys Femoral Component</Name><Description>Femur, CoCr with Ti vacuum plasma spray coating</Description><Size>XS TO F Left and Right</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>206063</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA009</BillingCode><Name>Optetrak Logic Total Knee System, Femoral Component, CR, Porous</Name><Description>Femoral Component, CR, Porous Coated</Description><Size>Size 0 - 6, Left and Right</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>285901</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA003</BillingCode><Name>Persona Knee System</Name><Description>Persona CR Femoral Component, Uncemented</Description><Size>Sizes 3-12</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>222703</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST033</BillingCode><Name>Scorpio Knee System Femoral Component</Name><Description>Minimally stabilised, uncemented, beaded, (microstructure), CoCr</Description><Size>3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>211476</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN273</BillingCode><Name>Attune Knee System</Name><Description>Cruciate Retaining Cementless Component</Description><Size>Sizes 1-10 including narrow</Size><SupplierCode>MN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>290326</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN326</BillingCode><Name>'Genesis II Knee System Femoral Component</Name><Description>Femoral Component, CoCr, uncemented, beaded</Description><Size>Left/Right Size 1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3914</SubGroupID><ARTGs><ARTG>242832</ARTG></ARTGs><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH603</BillingCode><PriorBillingCodes><PriorBillingCode>OO004</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - Posterior stabilised femoral component porous coated</Name><Description>Posterior stabilised, porous coated, femoral component for use in knee arthroplasty</Description><Size>Left/Right 1-6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3915</SubGroupID><ARTGs><ARTG>265604</ARTG></ARTGs><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR007</BillingCode><Name>Scorpio Knee System Femoral Component</Name><Description>Posterior stabilised, CoCr, uncemented, beaded, (microstructured), with TiNi surface treatment (LFIT - Low friction ion treatment)</Description><Size>3,5,7,9,11,13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3915</SubGroupID><ARTGs><ARTG>211479</ARTG></ARTGs><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN873</BillingCode><Name>Genesis II Knee System Femoral Component</Name><Description>Femoral component, CoCr, cementless, beaded, posterior stabilised</Description><Size>Left / Right 1-8</Size><SupplierCode>SL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3915</SubGroupID><ARTGs><ARTG>242833</ARTG></ARTGs><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU039</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral component, uncemented, CoCr, titanium plasma spray, posterior stabilised </Description><Size>1 - 6, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3915</SubGroupID><ARTGs><ARTG>204595</ARTG></ARTGs><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK161</BillingCode><Name>GMRS (Global Modular Replacement System) Extension Piece</Name><Description>GMRS Extension Piece, uncemented Titanium, connects to anchorage piece (optional) for increases diaphyseal replacement</Description><Size>30, 40, 50, 60, 70, 80, 100, 120, 140, 160, 180, 200, 220mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1382</GroupID><SubGroupID>3934</SubGroupID><ARTGs><ARTG>242293</ARTG></ARTGs><MinimumBenefit>3991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI963</BillingCode><Name>Compress Compliant Prestress System</Name><Description>Anchor Assembly: Plug, Transverse pin, spindle, nut, cap.</Description><Size>10-28mm femoral canal diameter,</Size><SupplierCode>ZA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1383</GroupID><SubGroupID>3935</SubGroupID><ARTGs><ARTG>177878</ARTG></ARTGs><MinimumBenefit>9035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK469</BillingCode><Name>VITOSS Foam - Compression Resistant Synthetic Cancellous Bone Void Filler</Name><Description>Highly porous bone graft material made from beta-tricalcium phosphate (β-TCP) and Type I bovine collagen.</Description><Size>20cc Foam strip (25x100x8)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4116</SubGroupID><ARTGs><ARTG>142666</ARTG></ARTGs><MinimumBenefit>2143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI144</BillingCode><Name>Mastergraft</Name><Description>Mastergraft Strip</Description><Size>&gt;10cc-20cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4116</SubGroupID><ARTGs><ARTG>215317</ARTG></ARTGs><MinimumBenefit>2143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC662</BillingCode><Name>Mastergraft</Name><Description>Matrix</Description><Size>20cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4116</SubGroupID><ARTGs><ARTG>283420</ARTG></ARTGs><MinimumBenefit>2143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI145</BillingCode><Name>Mastergraft</Name><Description>Mastergraft Strip</Description><Size>&gt;20cc</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4117</SubGroupID><ARTGs><ARTG>215317</ARTG></ARTGs><MinimumBenefit>2850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK475</BillingCode><Name>VITOSS Foam - Compression Resistant Synthetic Cancellous Bone Void Filler.</Name><Description>Highly porous bone graft material made from beta-tricalcium phosphate (β-TCP) and Type I bovine collagen.</Description><Size>Sheet (Wide Strip) 75x100x4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4117</SubGroupID><ARTGs><ARTG>142666</ARTG></ARTGs><MinimumBenefit>2850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ732</BillingCode><Name>Initial F SiTa</Name><Description>Subtalar arthroereisis screw</Description><Size>8mm L14mm, 9mm L14mm, 10mm L14mm, 11mm L16mm, 12mm L16mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>451226</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM100</BillingCode><Name>HyProCure</Name><Description>Sinus Tarsi Implant</Description><Size>05 to 10</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>291288</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ046</BillingCode><PriorBillingCodes><PriorBillingCode>LM373</PriorBillingCode></PriorBillingCodes><Name>Subtalar Implants</Name><Description>Subtalar Implants</Description><Size>All sizes</Size><SupplierCode>LV</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV103</BillingCode><Name>CoRoent Small Interlock Cage with screws</Name><Description>The CoRoent Small Interlock System is a stand-alone anterior cervical interbody fusion system indicated for use in skeletally mature patients with degenerative disc disease (DDD) at one level from C2-T1.</Description><Size>Width 14-18mm x length 10-14mm x Height 5-16mm x Lordosis 0-20˚</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>339170</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH762</BillingCode><PriorBillingCodes><PriorBillingCode>LM411</PriorBillingCode></PriorBillingCodes><Name>IRIX - C Implants</Name><Description>Cervical intergrated fusion system with screws</Description><Size>18 x 14mm and 16 x 13mm; Heights 5 - 12mm; Shape - Lordotic and parallel</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>160750</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW039</BillingCode><PriorBillingCodes><PriorBillingCode>ZA052</PriorBillingCode></PriorBillingCodes><Name>ROI-C Cervical Cage</Name><Description>A cervical cage for anterior approaches to cervical spine with screws</Description><Size>Footprints 12x14, 12x15.5, 14x14, 14x15.5; 14x17mm; Heights 4.5mm to 10mm; Anchors: Short, Long</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>188176</ARTG><ARTG>188175</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE662</BillingCode><Name>Shoreline ACS NoProfile Cage and screws</Name><Description>Cervical cage with no anterior profile constructed of cage and bone screws</Description><Size>Footprints: 16 x 14mm and 18 x 15mm
Heights: 6 -12 mm
7 Degrees Lordosis</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH587</BillingCode><Name>Cervical Spine Truss System - Stand Alone Cage and screw</Name><Description>Stand alone Cervical Interbody Fusion Device</Description><Size>12-14 x 15-17 x 5-12mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ726</BillingCode><Name>DIVA ACDF Blocked and Screws</Name><Description>PEEK ACDF Anterior Cervical Cage &amp; Plate. Includes Titanium Fixation Screws.</Description><Size>Cage - Size 4mm to 10 mm, Small, Standard and Large, Angle 5 degrees. Screws - Length 10 to 20mm, Diameter 4 and 5.5mm.</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462217</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IB001</BillingCode><Name>STACC Cervical Cage</Name><Description>PEEK Stand alone interbody fusion cage</Description><Size>5.5, 6.5, 7.5, 8.5 (Height) x 14mm (Width)</Size><SupplierCode>IB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>188902</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB065</BillingCode><Name>COALITION Spacer</Name><Description>ACDF Spacer with screws</Description><Size>12mm x 14mm, 14mm x 16mm and 15mm x 18mm ,5mm - 12mm height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>190040</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU066</BillingCode><Name>Tryptik MC cage/plate/screw</Name><Description>Integrated titanium anterior fixation plate with screws and PEEK cage</Description><Size>Cage: Height: 5mm, 6mm, 7mm.  Depth: 12mm, 14mm.    Screws: Dia.: 4 and 4.5 mm. Length: 12 to 18 mm.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ481</BillingCode><PriorBillingCodes><PriorBillingCode>JA027</PriorBillingCode><PriorBillingCode>JP006</PriorBillingCode></PriorBillingCodes><Name>Stalif C cage with the required screws</Name><Description>Interbody Fusion Cage - Domed and screws</Description><Size>5.5 - 9.5</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP006
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY029</BillingCode><PriorBillingCodes><PriorBillingCode>EV033</PriorBillingCode></PriorBillingCodes><Name>HRCc Cervical Locking Cage</Name><Description>Cervical Locking Cage</Description><Size>Size 4 to 9  Standard and Large</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>322672</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB207</BillingCode><Name>HEDRON IC</Name><Description>3D Printed Integrated ACDF Plate-Spacer including screws</Description><Size>Footprint: 12X14, 14X16, 15X18mm  Height: 5-12mm  Screws 3.6-4.2mm, 12-20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>353400</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI154</BillingCode><Name>Divergence Anterior Cervical Fusion Standalone System</Name><Description>Divergence anterior cervical fusion Standalone interbody device</Description><Size>5-10mm height</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ482</BillingCode><PriorBillingCodes><PriorBillingCode>JA030</PriorBillingCode><PriorBillingCode>JP009</PriorBillingCode></PriorBillingCodes><Name>Stalif C cage with the required screws</Name><Description>Interbody Fusion Cage - Tapered and screws</Description><Size>5.5 – 9.5</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP009
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI327</BillingCode><PriorBillingCodes><PriorBillingCode>ER470</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TCS</Name><Description>Titanium Stand Alone ADCF Cage, sterile or non-sterile also with Nanolock™ surface technology, sterile</Description><Size>12-16mm Length, 14-18mm Width, 5-12mm Heights</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>315580</ARTG><ARTG>285244</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU011</BillingCode><Name>Scarlet AC-T Cervical Cage</Name><Description>Cervical cage - anatomical, lordotic</Description><Size>Height: 5mm, 6mm, 7mm, 8mm, 9mm, 10mm
Footprint: 12 x 15mm (Small); 14 x 17mm (Large)</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY752</BillingCode><Name>Zero-P</Name><Description>Anterior Cervical Interbody Fusion System with locking screws</Description><Size>5-12mm Height</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG><ARTG>231839</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI482</BillingCode><PriorBillingCodes><PriorBillingCode>NK152</PriorBillingCode></PriorBillingCodes><Name>Cervical Fusion Cage</Name><Description>Cervical Fusion Cage</Description><Size>Multiple sizes for patient anatomy</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>340293</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ728</BillingCode><Name>DIVA Crown ACDF Blocked and Screws</Name><Description>PEEK ACDF Blocked cervical cage with locking screws. Includes Titanium Fixation Screws.</Description><Size>Cage - Size 4mm to 10mm, small and standard, 5 degrees. Screws - Length 10 to 20mm, Diameter 3.5mm and 3.9mm.</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462217</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ563</BillingCode><Name>DIVA 3D ACDF Blocked and Screws</Name><Description>Titanium ACDF Blocked Cervical Cage - anatomical, lordotic. Includes Titanium Fixation Screws.</Description><Size>Cage - Standard, Small and Large, Size 4 to 10mm, Angle 5 degrees. Screws - Length 0 to 20mm, Diameter 3.5 and 3.9mm</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462235</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW747</BillingCode><PriorBillingCodes><PriorBillingCode>ER137</PriorBillingCode></PriorBillingCodes><Name>Chesapeake Cervical</Name><Description>Cage Ti with integral fixation with screws</Description><Size>Cages: Height: 5mm - 10mm, Screws: Diameter: 3.5mm - 3.85mm. Lengths: 12mm to 18mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>193652</ARTG><ARTG>159146</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT003</BillingCode><Name>SPICCA-S2 Anterior Cervical Fusion Cage and bone fixation screws</Name><Description>Anterior cervical fusion cage; PEEK, Titanium coated PEEK, or 3D printed Titanium, including bone fixation screws.</Description><Size>Cage: Footprints: 15mm x 12mm, 15mm x 14mm, 17.5mm x 15mm, 19.5mm x 17mm; Height: 4mm - 10mm; Lordosis: 7 or 12 degrees. Screws: Diameter: 3.3 &amp; 3.7mm; Length: 13mm - 21mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>320878</ARTG><ARTG>322720</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ484</BillingCode><PriorBillingCodes><PriorBillingCode>JA031</PriorBillingCode><PriorBillingCode>JP010</PriorBillingCode></PriorBillingCodes><Name>Stalif cage with the required screws</Name><Description>Cervical Interbody Fusion Cage - Lordotic(Tapered)/Anatomic(Domed) and screws</Description><Size>Depth 12 - 16mm, Height 5.5 - 11.5mm</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP010
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ326</BillingCode><Name>Hexanium ACIF</Name><Description>Integrated ACDF Cage with screws for Integral Fixation</Description><Size>Cage Height 5mm-12mm, Small, Medium, Large Screw Length 10-16mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>421975</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER595</BillingCode><PriorBillingCodes><PriorBillingCode>OF054</PriorBillingCode></PriorBillingCodes><Name>Lonestar Cervical Stand Alone System Cage</Name><Description>The Lonestar Cervical Stand Alone device is a stand-alone cervical cage system consisting of cages, screws and a anti-backout cover plate. The Lonestar is manufactured from PEEK and Titanium with Titanium Bone Screws.</Description><Size>Cage: 15-17mm x 13-15mmx6-9 mm; 7 degrees; Cover Plate: 9.9x5.1 mm; Bone Screw: dia 3.6-4.0mmx Length 12-16 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC021</BillingCode><PriorBillingCodes><PriorBillingCode>JA030</PriorBillingCode></PriorBillingCodes><Name>Stalif C cage with the required screws</Name><Description>Interbody Fusion Cage - Tapered and screws</Description><Size>5.5 – 9.5</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC005</BillingCode><Name>Alias Cage with screws</Name><Description>PEEK Fusion Cage with Plasma coating  with screws</Description><Size>5-9mm, 4, 8 and 12 degree, Flat and contoured options</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>268893</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY110</BillingCode><PriorBillingCodes><PriorBillingCode>EV013</PriorBillingCode></PriorBillingCodes><Name>Cato ACDF Standalone Cage with screws</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>Medium, Large – 6°, 9° and 12°, height 4-10mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY028</BillingCode><PriorBillingCodes><PriorBillingCode>EV026</PriorBillingCode></PriorBillingCodes><Name>Revolution Standalone ACDF cage with screws</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>Standard – 6 and 9 degrees, height 4-10mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>236042</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY063</BillingCode><PriorBillingCodes><PriorBillingCode>DR031</PriorBillingCode></PriorBillingCodes><Name>Hygro-C Integrated ACDF with screws</Name><Description>Integrated ACDF Cage with screws for Integral Fixation</Description><Size>14mm-16mm x 16mm-19mm x 4mm-9mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC013</BillingCode><PriorBillingCodes><PriorBillingCode>BF022</PriorBillingCode></PriorBillingCodes><Name>Redmond Cervical Cage  with screws</Name><Description>Stand-alone cervical interbody fusion cage with locking screws</Description><Size>14mm L x 15mm W; 5mm - 12mm H  15mm L x 15mm W; 5mm - 12mm H  15mm L x 17mm W; 5mm - 12mm H</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC020</BillingCode><PriorBillingCodes><PriorBillingCode>JA027</PriorBillingCode></PriorBillingCodes><Name>Stalif C cage with the required screws</Name><Description>Interbody Fusion Cage - Domed and screws</Description><Size>5.5 - 9.5</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC022</BillingCode><PriorBillingCodes><PriorBillingCode>JA031</PriorBillingCode></PriorBillingCodes><Name>Stalif  with required screws</Name><Description>Cervical Interbody Fusion Cage - Lordotic(Tapered)/Anatomic(Domed) and screws</Description><Size>Depth 12 - 16mm, Height 5.5 - 11.5mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ084</BillingCode><PriorBillingCodes><PriorBillingCode>JQ058</PriorBillingCode></PriorBillingCodes><Name>IdentiTi Cervical SA Spacer</Name><Description>Integral Fixation Spacer including two Fixation Screws. Ti Alloy</Description><Size>Cage: (5 - 10)mm x (14 - 18)mm footprint  x (12 -  16)mm height,  (7- 15) degrees lordosis   Screws: (3.5 - 4)mm diameter x (12-18)mm length self tapping or self drillling, single or dual lead </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>397510</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ046</BillingCode><Name>Borealis Spine System</Name><Description>Anterior Cervical Inerbody Fusion Cage and Screws</Description><Size>Medium - Large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>217031</ARTG><ARTG>217033</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK001</BillingCode><Name>3D fusion ACDF</Name><Description>Stand-alone anterior cervical discectomy and fusion (ACDF) fixation system: cage, screws and locking cap.    The 3DMorphic ACDF integral screw fixation device (cage) is intended to immobilize, stabilize and maintain the height between instrumented segments and support loading in the cervical spine until fusion occurs. The 3DMorphic ACDF device has a trapezoidal, ring shaped footprint with a central graft window that can receive bone graft. The superior and inferior surfaces of the device are made to fit the patient’s vertebral endplate anatomy and feature serrated teeth to resist expulsion from the interbody space. The anterior surface of the device features screw holes and a threaded locking cap hole as the device is designed for use with integral fixation screws and a locking cap. The device is offered in a variety of footprints, heights, lordotic and scoliotic angles according to the patient’s anatomy and surgeon’s specifications. </Description><Size>Footprints: 10mm to 23mm L x 08mm to 30mm W. Minimum anterior height is 6mm.         L = Anterior-posterior depth (DD in the catalogue), W = width (WW in the catalogue), height and angle vary according to surgeon request as the devices are custom-made.     Please refer to attached catalogue for full size range.     </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY034</BillingCode><Name>Dakota ACDF System</Name><Description>Dakota ACDF System comprising of ACDF cage, ACDF plate, locking screw, bone screw</Description><Size>5mm to 12mm heights</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>317596</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW518</BillingCode><Name>AVS Anchor C Cervical Cage System</Name><Description>Cervical Cage with integrated screws</Description><Size>Cages: 12 x 14mm, 14 x 16mm, height range ; 6mm-12 mm.) 0, 4 and 8 degree angulation, Screws: Diameter 3.5-4mm Length 8-14mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>315081</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY055</BillingCode><Name>Tesera SC / Tesera-k SC</Name><Description>Integrated Fusion Cage – Construct achieves integral fixation with screws and a locking mechanism</Description><Size>Foot Print (14.5-19mm) Wide x (12.5 - 16mm) Deep x (5-12mm) Height,  2-12 Degrees Lordosis</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY052</BillingCode><Name>Mako ACDF Cage</Name><Description>ACDF Locking Cage</Description><Size>Small, Medium, Large, Extra-Large 6 and 9 degrees 5mm to 10mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>393044</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF022</BillingCode><Name>Redmond Cervical Cage</Name><Description>Stand-alone cervical interbody fusion cage with locking cap</Description><Size>14mm L x 15mm W; 5mm - 12mm H
15mm L x 15mm W; 5mm - 12mm H
15mm L x 17mm W; 5mm - 12mm H</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB006</BillingCode><Name>DCS System</Name><Description>Anterior cervical interbody fusion system with screws</Description><Size>Cage Height: 5/6/7/8/9/10/11/12 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>214788</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU177</BillingCode><Name>Mecta-C Stand Alone System</Name><Description>TiPEEK Anterior cervical cages + screws</Description><Size>Height: from 5 mm to 12 mm in 1 mm increments  15 mm x 13 mm, 16 mm x 14 mm, 18 mm x 15 mm  7° lordosis</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>333435</ARTG><ARTG>222456</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY031</BillingCode><PriorBillingCodes><PriorBillingCode>EV016</PriorBillingCode></PriorBillingCodes><Name>Evolution TM2 Cage</Name><Description>Thoraco Lumbar ALIF cage</Description><Size>standard</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ483</BillingCode><PriorBillingCodes><PriorBillingCode>JA028</PriorBillingCode><PriorBillingCode>JP007</PriorBillingCode></PriorBillingCodes><Name>Stalif cage with the required screws</Name><Description>Lumbar/Thoracolumbar Interbody Fusion Cage and screws</Description><Size>W: 30-42mm H: 11-21mm Lordosis: 8-20°</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP007
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM514</BillingCode><Name>ALIF Cage construct including screws and cover plate for integral fixation</Name><Description>ALIF Cage construct including screws and cover plate for integral fixation</Description><Size>Cage 10 - 20mm (H) x 20, 26, 40mm (W) x 8°, 14°, 20°, 30°  Screws 5.5mm, 20-30  Cover Plate Small, Large</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ045</BillingCode><Name>Australis Spine System</Name><Description>Thoracolumbar Cage IF</Description><Size>extra small - extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER597</BillingCode><PriorBillingCodes><PriorBillingCode>OF075</PriorBillingCode></PriorBillingCodes><Name>PILLAR SA</Name><Description>ALIF Cage constructed of PEEK with titanium cover plate and bone screws</Description><Size>Cage: 33-43mm x 28-32mm x 12.5-18mm, Lordosis - 7 -12 degrees; Cover plate - 33mm-43mm; Bone screw; dia 5-5.5 mm x length 20-35mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW743</BillingCode><PriorBillingCodes><PriorBillingCode>ER046</PriorBillingCode></PriorBillingCodes><Name>Chesapeake Thoracolumbar Spinal System</Name><Description>Thoracolumbar Peek Cage with Ti Screws</Description><Size>Cages: Footprint: 24mm - 30mm x 30mm - 40mm Height: 11mm - 21mm, Screws: Diameter 5.5mm Lengths: 20-30mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>159146</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC017</BillingCode><PriorBillingCodes><PriorBillingCode>SF157</PriorBillingCode></PriorBillingCodes><Name>Nik-Alias Cage with screws</Name><Description>Anterior Lumbar Cage with integral fixation (PEEK, HA PEEK, Titanium, Porous Titanium) with screws included</Description><Size>Angle 0 - 12 degrees, Length 40 - 60mm, Height 8 - 16mm</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>268893</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY062</BillingCode><PriorBillingCodes><PriorBillingCode>DR027</PriorBillingCode></PriorBillingCodes><Name>Hygro-L Stand-alone ALIF with screws</Name><Description>Integrated Titanium ALIF cage with Screws for Integral Fixation</Description><Size>Length (32-38mm) x width (24.5-29mm); heights (12-24mm); lordotic angle (9-27) degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF013</BillingCode><Name>Redmond Lumbar Cage System</Name><Description>ALIF PEEK &amp; Titanium Cage, Locking &amp; Oversized Screws and Locking Cap</Description><Size>Cage: Angle 12 - 18 degrees; Height 12-18mm; W36-43mm x L28-32mm; Screws 5.5 &amp; 5.7mm - L25-35mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><ChangeExplanation>Change to Product name, Product Group, Change to Group benefit, Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY032</BillingCode><PriorBillingCodes><PriorBillingCode>EV030</PriorBillingCode></PriorBillingCodes><Name>Evolution Altus ALIF Cage with screws</Name><Description>ThoracoLumbar ALIF Cage with screws</Description><Size>Small (34x25mm) 8 - 18 degrees, 10 - 18mm  Medium (38x30mm) 8 - 18 degrees, 10 -  18mm  Medium Long (38x34mm) 8 - 18 degrees, 10 -  18mm  Large (42x30mm) 8 - 18 degrees, 10 - 18mm  X Large (42x34mm) 8 - 18 degrees, 10 - 22mm  XX Large (42x38mm) 13 degrees, 12 - 18mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>236042</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY030</BillingCode><PriorBillingCodes><PriorBillingCode>EV014</PriorBillingCode></PriorBillingCodes><Name>Evolution ALIF Cage with screws</Name><Description>ThoracoLumbar ALIF Cage with screws</Description><Size>Small (34x25mm) 8 - 18 degrees, 10 - 18mm  Medium (38x29mm) 8 - 18 degrees, 10 - 18mm  Medium Long (38x34mm) 8 - 18 degrees, 10 - 18mm  Large (42x30mm) 8 - 18 degrees, 10 - 18mm  X Large (42x34mm) 8 - 18 degrees, 10 - 22mm  XX Large (42x38mm) 13 degrees, 12 - 18mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC004</BillingCode><Name>Advantage Cage with screws</Name><Description>Plasma Coated PEEK Cage  with screws</Description><Size>Small, medium, Medium Wide, Large, Extra Large</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>268893</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB001</BillingCode><Name>Independence Spacer with screws</Name><Description>Spacer with integral plate and screws</Description><Size>small (24 X30mm), medium (26 X 34mm), large (29mm X 39mm) 8,15, 20, 25 and 30 deg 11mm – 25mm height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>190071</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW040</BillingCode><PriorBillingCodes><PriorBillingCode>ZA053</PriorBillingCode></PriorBillingCodes><Name>ROI-A ALIF Cage</Name><Description>The ROI-A implant is an ALIF interbody/fusion cage manufactured from PEEK-Optima.  If the surgeon so chooses, additional stability can be added to the construct by inserting optional self-guided, locking anchoring plates into the cage and the adjacent vertebral bodies (plates are included, and no screws are required).</Description><Size>Footprints 23x26mm, 30x33mm, 33x36m, 27x36mm, 30x39mm. Lordosis angles 2, 6, 10, 14 degrees. Heights 9-19mm. 1 cage per pack.</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>188176</ARTG><ARTG>188175</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC024</BillingCode><PriorBillingCodes><PriorBillingCode>JA029</PriorBillingCode></PriorBillingCodes><Name>Stalif Midline II Ti  cage with the required screws</Name><Description>Interbody Fusion Cage including screws</Description><Size>30-42</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI513</BillingCode><Name>Anteralign™ - LS cage</Name><Description>Interbody cage and fixation screws</Description><Size>Height: 10 mm - 20 mm; Width: 32 mm - 42 mm; Length: 25 mm - 32 mm; Lordosis: 6° - 30°</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>422152</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY054</BillingCode><Name>Tesera SA / Tesera-k SA</Name><Description>Integrated Fusion Cage –  Construct achieves integral fixation with screws and locking mechanism</Description><Size>Footprint (30-42mm)x(26-32mm); Height 11-21mm, Lordosis 7-28 Degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB175</BillingCode><Name>ELSA ATP</Name><Description>Anterior-to-Psoas Expandable Lumbar Spacer with screws</Description><Size>Width: 20mm
Length - 40mm-65mm
Unexpanded Height - 7-10mm
Expanded Height - 14mm-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ149</BillingCode><Name>Evolution Spine E3D-A Interbody System-Integrated Fusion Cage</Name><Description>E3D-A Interbody-ALIF integrated sterile fusion cage with screws and optional cover plate, non-sterile.</Description><Size>Footprint: (32-40mm) x (24-28mm) Height: 11-21 mm Lordosis: 8-30 degrees</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>445956</ARTG><ARTG>445950</ARTG><ARTG>445955</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC015</BillingCode><PriorBillingCodes><PriorBillingCode>BF013</PriorBillingCode></PriorBillingCodes><Name>Redmond Lumbar Cage System - Fusion Cage  with screws</Name><Description>PEEK titanium ALIF  with screws</Description><Size>Height: 12, 14, 16, 18, 20mm  Width: 28, 34, 36, 39, 43mm  Length: 24, 27, 30, 32mm  Angle: 6º, 12º, 18º</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ731</BillingCode><Name>DIVA Queen ALIF Blocked Cage and Screws</Name><Description>PEEK ALIF Blocked Lumbar Cage - anatomical, lordotic. Includes Titanium Fixation Screws.</Description><Size>Cage - Size 8mm to 16mm, Small and Standard, 8, 12 and 18 degrees. Screws - Length 20 to 40mm, Diameter 5.5mm.</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462217</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ564</BillingCode><Name>DIVA 3D ALIF Blocked and Screws</Name><Description>Titanium ALIF Blocked Lumbar Cage - anatomical, lordotic. Includes Titanium Fixation Screws.</Description><Size>Cage - Size 8 to 18mm, Standard and Small, Angle 8, 12 and 18 degrees. Screws - Length 20 to 50mm, Diameter 5.5mm</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>462235</ARTG><ARTG>457425</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE797</BillingCode><Name>Meridian TruProfile ALIF Cage, Plate, Locking Cover, Screws</Name><Description>Anterior lumbar cage with plate, locking cover and screws</Description><Size>Cage: 31x24, 35x27, 39x30;10-20mm Heights;10, 15, 20 &amp; 25 Degree Lordosis    Plate: 2 &amp; 4 Hole, Size 10mm-20mm   Locking Cover: 10mm-20mm  Screws: 5.5 &amp; 6.0mm, 15mm-35mm  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB206</BillingCode><Name>HEDRON IA</Name><Description>3D Printed Integrated ALIF Spacer including screws/anchor</Description><Size>Spacer  Footprint: 24X30, 26X34, 29X39mm  Height: 11-21mm        Screws/Anchor: Diameter 5.5mm, Length 20-40mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY801</BillingCode><Name>SynFix Spinal System</Name><Description>Evolution, Interbody Fusion Spacer with locking screws</Description><Size>Size: Small; Small deep; Medium; Medium Deep; Large; Large Deep.   Height: 10.5 mm - 19 mm   Angle: 6°, 10°, 14°, 18°.  Locking screws: 20, 25, 30 mm; 4.0mm diameter;  Fine tip, Blunt tip</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>293276</ARTG><ARTG>231840</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ082</BillingCode><PriorBillingCodes><PriorBillingCode>JQ057</PriorBillingCode></PriorBillingCodes><Name>IdentiTi ALIF Standalone Interbody System </Name><Description>Integrated Fixation Cage Including 2 Lateral Fixation Screws and 1 (Centre Screw or Cannulated Fixation Bolt), Ti Alloy </Description><Size>Cage: 34 - 38)mm x (24 - 28)mm footprint x (4- 13)mm height , (10-30) degree lordosis   Screw: (5 - 8.5)mm diameter  x (25 - 35) mm length   Bolt: (8.5 - 9) mm diameter x (25 -35)mm length </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>397510</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE796</BillingCode><Name>Meridian No Profile Cage with Locking Plate and Screws</Name><Description>No Profile ALIF cage with titanium faceplate - two or three hole, with Screws</Description><Size>Cage 31x24, 35x27, 39x30      10-20mm Heights      10, 15, 20 &amp; 25 Degree Lordosis    Screws: 5.5 &amp; 6.0mm, 15mm-35mm  Locking cover : one size</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU121</BillingCode><Name>MectaLIF Anterior Stand-Alone TiPEEK Cages.</Name><Description>TiPEEK Anterior Interbody cage with integral plate and screws</Description><Size>cages: 24x31, 27x35, 30x35, 30x40, 29x31, 32x35, 35x35, 35x40 mm. Height 10-18 in 2mm increments  plates various designs  screws with diameter: 5 &amp; 5.5mm and length: 25, 30, 35 &amp; 40mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>207288</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC023</BillingCode><PriorBillingCodes><PriorBillingCode>JA028</PriorBillingCode></PriorBillingCodes><Name>Stalif cage with the required screws</Name><Description>Lumbar/Thoracolumbar Interbody Fusion Cage and screws</Description><Size>W: 30-42mm H: 11-21mm Lordosis: 8-20°</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ729</BillingCode><Name>DIVA LLIF Blocked and Screws</Name><Description>PEEK LLIF Cage. Includes Titanium Fixation Screws.</Description><Size>Cage - Size 8mm to 16mm, Small and Standard, Angle 4, 8, 12 degrees. Size - Length 25mm to 50mm, Diameter 6mm.</Size><SupplierCode>AAG</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462217</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW678</BillingCode><Name>Monterey AL, Cage with integral fixation including screws</Name><Description>ALIF cage with screws for integral fixation</Description><Size>Cage: 10-24mm, Screws: 17.5-30mm Length, 5-6mm Diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>356926</ARTG></ARTGs><Note>This billing code is for Monterey AL Cage but only when it is used with screws to achieve integral fixation.’
It was noted that when the cage is used without screws it should be listed on PL in the grouping 13.10.02.02 Spinal, Fusion cage, interbody, no integral fixation, ThoracoLumbar/Lumbar.</Note><ChangeExplanation>Change to Product name</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY109</BillingCode><PriorBillingCodes><PriorBillingCode>EV036</PriorBillingCode></PriorBillingCodes><Name>Tora Cage and screw</Name><Description>Anterior Lumbar Cage with integral fixation (PEEK, HA PEEK, Titanium, Porous Titanium) and screws</Description><Size>Angle 0 - 12 degrees, Length 40 - 60mm, Height 8 - 16mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM512</BillingCode><Name>Stand-Alone ALIF System including screws for integral fixation</Name><Description>Stand-Alone ALIF System including screws for integral fixation</Description><Size>10-20mm (H) x 30, 36, 40mm (W) x 8°, 14°, 20°, 30° </Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER596</BillingCode><PriorBillingCodes><PriorBillingCode>OF074</PriorBillingCode></PriorBillingCodes><Name>PILLAR SA PTC</Name><Description>ALIF Cage constructed of PEEK Titanium composite (PTC) with cover plate and bone screws.</Description><Size>Width - 33mm to 43mm Depth/Length - 28mm Height - 12mm to 18 mm, Lordosis - 7 to 12 degrees; Cover Plate - 33mm to 43mm; Bone Screw: dia 5-5.5 mm x length 20-35 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER538</BillingCode><Name>Signus BIG ST – Lumbar Cage and fixation screws system</Name><Description>ALIF Lumbar Cage and fixation screws</Description><Size>10 – 20mm : 8 deg 12 deg 16deg &amp; 20deg</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV071</BillingCode><Name>Brigade (implant)</Name><Description>Interbody fusion implant with screws</Description><Size>Cage: 4-20mm x 34-42mm x 24-32mm, 0-30 degrees. Screws: 4.5-5.5 x 20-35mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>339170</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ485</BillingCode><PriorBillingCodes><PriorBillingCode>JA029</PriorBillingCode><PriorBillingCode>JP008</PriorBillingCode></PriorBillingCodes><Name>Stalif Midline II Ti  cage with the required screws</Name><Description>Interbody Fusion Cage and screws</Description><Size>30-42</Size><SupplierCode>AAI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from JP008
Sponsor transferred from CENTINEL SPINE AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB346</BillingCode><Name>Arcadius L Stand-Alone Interbody Device with screws</Name><Description>Titanium Coated PEEK ALIF CAGE with screws</Description><Size>4 degree, 9 degree &amp; 14 degree lordosis with width 35mm x Depth 25mm X Height 10/12/14/16/18/20mm.4 degree, 9 degree &amp; 14 degree lordosis with Width 40mm x Depth 29mm x Height 10/12/14/16/18/20mm.  Bone screws either 4.5mm x 25mm or 4.5mm x 30mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>273761</ARTG><ARTG>221528</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT005</BillingCode><Name>SASCA-2 ALIF Cage and bone fixation screws</Name><Description>Anterior lumber interbody fusion screw cage; PEEK, Titanium coated PEEK, or 3D printed Titanium, including bone fixation screws.</Description><Size>Cage: Footprint: 30mm x 25mm, 35mm x 30mm, 37mm x 27mm, 40mm x 35mm, 41mm x 28mm; Height: 8mm - 18mm; Lordosis: 8, 15 or 20 degrees. Screws: Diameter: 5.5 &amp; 6.5mm; Length: 25mm - 40mm</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>320878</ARTG><ARTG>322720</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK007</BillingCode><Name>3D Fusion integral fixation ATP Cage with screws and locking cap</Name><Description>Titanium ATP fusion cage with integral fixation including screws and locking cap</Description><Size>Width: 18-24mm  Length - 35mm-60mm  Height - 3mm-30mm and angle 0-35 as per patient specific requirements for the designed cage.      </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB171</BillingCode><Name>ELSA Expandable Lateral Interbody Fusion Spacer with screws</Name><Description>Expandable lateral interbody fusion spacer with integrated fixation screws</Description><Size>Height (unexpanded): 7-11mm
Height (expanded): 14-20mm
Length: 40-65mm
Width: 20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC987</BillingCode><Name>Sovereign Spinal System - Interbody Spacer</Name><Description>Sovereign Spinal System - Interbody Spacer with Coverplate</Description><Size>Small - 32mm x 23mm, Medium - 37mm x 27mm, Large - 42mm x 30mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK002</BillingCode><Name>3D fusion lumbar cage</Name><Description>Stand-alone anterior lumbar interbody fusion (ALIF) fixation system: cage, screws and locking caps.        3DMorphic ALIF integral screw fixation device (cage) is intended to immobilize, stabilize and maintain the space between instrumented segments and support loading in the lumbar spine until fusion occurs. The 3DMorphic ALIF device has a trapezoidal, ring shaped footprint, and features a central graft window that can receive bone graft. The superior and inferior surfaces of the device are adapted to match the patient’s vertebral endplate anatomy and feature serrated teeth to resist expulsion from the interbody space. The anterior surface of the device features screw holes and threaded locking cap holes as the device is designed for use with integral fixation screws and locking caps. The cage is offered in a variety of footprints, heights, lordotic and scoliotic angles according to the patient’s anatomy and surgeon’s specifications.</Description><Size>Footprints: 20mm to 36mm L x 19mm to 58mm W. Minimum anterior height is 10mm.     L = Anterior-posterior depth (DD in the catalogue), W = width (WW in the catalogue), height, angle and number of screws vary according to surgeon request and patient anatomy as the devices are custom-made.    Please see attached catalogue for full list of sizes.</Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU037</BillingCode><Name>Scarlet AL-T Secured Lumbar Cage</Name><Description>Secured Lumbar Cage with screws</Description><Size>Cage: Small, Medium and Large Footprint, Height 10-18mm; Screws: diameter 5.0 and 5.5mm , length 25-40mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>166154</ARTG><ARTG>166194</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI326</BillingCode><PriorBillingCodes><PriorBillingCode>ER469</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TAS</Name><Description>Titanium  lumbar cage with integrated fixation, sterile or non-sterile also with  NanoLock™ surface technology, sterile  .</Description><Size>10-17mm Height, 32-40mm x 21-27mm Width, 7˚-24˚ Angles</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>285244</ARTG><ARTG>315580</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV170</BillingCode><Name>Modulus ALIF</Name><Description>Integrated fixation lumbar fusion cage including bolts.</Description><Size>Cage: 6-12mm X 34-42mm X 24-32mm  Bolt: Diameter 5-6mm, Length 15-30mm        </Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH715</BillingCode><Name>Integrated Anterior Lumbar Spine Truss Cage</Name><Description>Integral fixation ALIF cage with screws</Description><Size>8-20mm heights</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY039</BillingCode><Name>Dakota ALIF construct</Name><Description>Anterior lumbar fusion device:  construct containing Dakota ALIF Cage, integrated faceplate and screw</Description><Size>11mm to 19mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>317596</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF032</BillingCode><Name>Adapter GHE Femoral Long Stem Cemented </Name><Description>CoCr, non polished, long stem</Description><Size>200mm - 350mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>175346</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST584</BillingCode><Name>Osteonics omnifit cemented long stem</Name><Description>cobalt chrome unpolished long </Description><Size>Stem sizes  5-11, stem length 200, 250 AND 300mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>217480</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN271</BillingCode><Name>Spectron</Name><Description>Revision Hip Stem - Non-porous</Description><Size>225mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>220103</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI025</BillingCode><Name>Zimmer VerSys CRC Hip Systems Femoral Stem</Name><Description> Cobalt Chrome, unpolished long stem with calcar attachment option</Description><Size>13 - 19</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>208884</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW040</BillingCode><Name>Exeter Hip System</Name><Description>Stainless Steel (Orthinox) polished long</Description><Size>37.5 and 44mm offsets</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>205392</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP550</BillingCode><Name>C-Stem AMT Femoral Stem</Name><Description>Stainless steel Ortron 90, highly polished, triple taper, long stem</Description><Size>Size 3 x 205; 240mm; Standard Offset</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>312663</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH683</BillingCode><PriorBillingCodes><PriorBillingCode>OO173</PriorBillingCode></PriorBillingCodes><Name>MUTARS Femoral Stem Cemented with TiN and HA Collar</Name><Description>MUTARS Femoral Stem Cemented with TiN and HA Collar</Description><Size>11/13/15/17 
120/160/200/240mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>244313</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI301</BillingCode><Name>CPT Hip System</Name><Description>Cobalt Chrome, polished, tapered, long stems </Description><Size>Sizes 1 - 4</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1405</GroupID><SubGroupID>3944</SubGroupID><ARTGs><ARTG>208688</ARTG></ARTGs><MinimumBenefit>2980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC196</BillingCode><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium &gt; 32mm</Description><Size>36mm, 38mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>227096</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR314</BillingCode><PriorBillingCodes><PriorBillingCode>GO312</PriorBillingCode></PriorBillingCodes><Name>BioBall Femoral Head</Name><Description>Femoral DuoHead Vivium &gt; 32mm</Description><Size>36mm to 58mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>266540</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW395</BillingCode><Name>V40 Orthinox Head</Name><Description>Stainless Steel</Description><Size>&gt;32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>211859</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA467</BillingCode><Name>Mathys Unipolar Femoral Head</Name><Description>Stainless steel, unipolar head</Description><Size>42 mm - 58mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>212967</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR308</BillingCode><PriorBillingCodes><PriorBillingCode>GO304</PriorBillingCode></PriorBillingCodes><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium &gt; 32mm</Description><Size>36mm to 58mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>266539</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC191</BillingCode><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium &gt; 32mm</Description><Size>36mm to 58mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>227097</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC156</BillingCode><Name>Cephalic Head</Name><Description>Cephalic Head AISI 316L</Description><Size>41 - 57mm Diameter</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>210761</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC193</BillingCode><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium &gt; 32mm</Description><Size>36mm to 58mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3994</SubGroupID><ARTGs><ARTG>227098</ARTG></ARTGs><MinimumBenefit>681</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV027</BillingCode><Name>Femoral Head</Name><Description>Femoral Head CoCr, Superfinished</Description><Size>33-36mm, XS-XXL (neck length), -3.5 to + 10.5 (neck offset)</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>263792</ARTG><ARTG>262372</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN809</BillingCode><Name>Femoral head</Name><Description>CoCr</Description><Size>&gt;32mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>218142</ARTG><ARTG>218139</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF047</BillingCode><Name>Signature Delta Femoral Head &gt;=36mm</Name><Description>Cobalt Delta Femoral Head</Description><Size>Offsets S, M, L &amp; XL</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>272595</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD002</BillingCode><Name>Evolutis CoCr Femoral Head</Name><Description>CoCr Femoral Heads</Description><Size>36mm diamater</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>268273</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF025</BillingCode><Name>Unipolar Femoral head</Name><Description>Femoral head manufactured from Cobalt Chrome</Description><Size>40-62mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>298301</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN308</BillingCode><Name>Unipolar Head</Name><Description>Co Cr</Description><Size>12/14, 40-61mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>242994</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR084</BillingCode><Name>CoCr Femoral Head</Name><Description>CoCr Modular Head</Description><Size>Dia 36-62</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>224980</ARTG><ARTG>269352</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC157</BillingCode><Name>Modular Head</Name><Description>Modular Head CoCrMo</Description><Size>36mm Diameter Small to XXXLarge</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>210718</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA111</BillingCode><PriorBillingCodes><PriorBillingCode>BI877</PriorBillingCode><PriorBillingCode>BI974</PriorBillingCode><PriorBillingCode>ZI359</PriorBillingCode></PriorBillingCodes><Name>Zimmer Biomet Femoral Heads</Name><Description>Modular Femoral Head  </Description><Size>36-44 mm diameter</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>231255</ARTG><ARTG>224807</ARTG><ARTG>237314</ARTG><ARTG>273693</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR301</BillingCode><PriorBillingCodes><PriorBillingCode>GO293</PriorBillingCode></PriorBillingCodes><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium &gt; 32mm</Description><Size>36mm to 58mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>266538</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA542</BillingCode><Name>Mathys CoCr Femoral Head</Name><Description>CoCr Femoral Head</Description><Size>36mm, S to XXL</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>274272</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD007</BillingCode><PriorBillingCodes><PriorBillingCode>LI118</PriorBillingCode></PriorBillingCodes><Name>Evolutis CoCr Femoral Heads</Name><Description>Large Diameter CoCr Femoral Heads</Description><Size>36mm  Short, Medium, Long, Extra Long  12/14 Taper</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>268273</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AX103</BillingCode><Name>U2 Femoral Head</Name><Description>Unipolar Femoral heads, CoCr</Description><Size>Size 42 - 56mm</Size><SupplierCode>AX</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>172424</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI096</BillingCode><Name>Amplitude CoCr Femoral Head</Name><Description>Femoral heads, CoCr</Description><Size>Diameter 36mm, -4, 0, +4, +8</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>389273</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU097</BillingCode><Name>Femoral Head</Name><Description>CoCr Femoral Ball Head 12/14</Description><Size>Ø 36mm &amp; Ø 40mm: both of sizes S-M-L-XL-XXL</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>210392</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO183</BillingCode><Name>Link Prosthesis Femoral Head, &gt;32mm</Name><Description>CoCr Femoral Head, &gt;32mm</Description><Size>36mm diameter</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>212089</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH705</BillingCode><Name>IC-Head</Name><Description>IC-Head, CoCrMo</Description><Size>36mm, S-XL</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>291215</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK405</BillingCode><Name>LFIT Femoral Heads</Name><Description>Femoral head with low friction ion treatment</Description><Size>36mm-44mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><Suffix>Low Frequency Ion Treatment</Suffix><ARTGs><ARTG>211867</ARTG><ARTG>211868</ARTG></ARTGs><MinimumBenefit>1447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI054</BillingCode><Name>Femoral Head</Name><Description>Cobalt Chrome Femoral Head</Description><Size>36-57mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>346245</ARTG><ARTG>344990</ARTG><ARTG>228449</ARTG><ARTG>241232</ARTG><ARTG>241192</ARTG><ARTG>274713</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ157</BillingCode><Name>Ultamet Metal Femoral Head</Name><Description> Metal Femoral Head - Ultamet</Description><Size>36mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>261993</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ156</BillingCode><Name>Modular M-Spec Metal Femoral Head</Name><Description> Metal Femoral Head - Modular M-Spec</Description><Size>36-40mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>264072</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ155</BillingCode><Name>Modular Cathcart Fracture Head Hip Ball and Articul/eze M-Spec Metal Femoral Head</Name><Description> Metal Femoral Head - Articul/eze, M-Spec, Unipolar</Description><Size>36mm to 60mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>261972</ARTG><ARTG>235556</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST570</BillingCode><Name>UNITRAX</Name><Description>Vitallium alloy /CoCr</Description><Size>38-64mm OD 2mm increments</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>255133</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ004</BillingCode><Name>Cobalt Chrome Femoral Head</Name><Description>CoCr Femoral Head</Description><Size>36mm</Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>392730</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA024</BillingCode><Name>Exactech Femoral Head CoCr</Name><Description>Cobalt Chrome Femoral Head</Description><Size>36mm, -3.5mm to +10mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>293800</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA517</BillingCode><Name>Bionit Ceramic Femoral Head</Name><Description>Femoral Head, Ceramic</Description><Size>36 to 54mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3996</SubGroupID><ARTGs><ARTG>210564</ARTG></ARTGs><MinimumBenefit>1357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW394</BillingCode><Name>Stryker large ceramic femoral head </Name><Description>Biolox Forte</Description><Size>36mm - 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3996</SubGroupID><ARTGs><ARTG>217828</ARTG></ARTGs><MinimumBenefit>1357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV028</BillingCode><Name>Delta Modular Heads</Name><Description>Biolox Delta Heads</Description><Size>33-40mm
Short, Medium, Long</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>240574</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC155</BillingCode><Name>Revision Modular Biolox Delta Head</Name><Description>Revision Modular Biolox Delta Head Ti6AI4V 12/14 Taper</Description><Size>36 - 40mm Small to Xlarge</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>210872</ARTG></ARTGs><MinimumBenefit>2097</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ819</BillingCode><Name>DePuy Delta TS Heads</Name><Description>Delta ceramic femoral head with titanium sleeve</Description><Size>&gt;32mm, +1 to +12</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>217543</ARTG></ARTGs><MinimumBenefit>2097</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA485</BillingCode><Name>Ceramys Large Ceramic Revision Femoral Head</Name><Description>Ceramic, zirconia alumina combination, large diameters, supplied with titanium taper sleeve</Description><Size>36 L, 36 M, 36 S, 36 XL, 36</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>274113</ARTG></ARTGs><MinimumBenefit>2097</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY464</BillingCode><Name>DePuy Delta Ceramic Femoral Head</Name><Description>Ceramic delta &gt;32mm</Description><Size>&gt;32mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>232415</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD004</BillingCode><Name>Delta Ceramic Femoral Head</Name><Description>Delta Femoral Head</Description><Size>36mm to 40mm</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>273049</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM095</BillingCode><Name>Universal Delta Ceramic Femoral Head</Name><Description>Delta Ceramic</Description><Size>&gt;32mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>218138</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF045</BillingCode><Name>Signature Delta Femoral Head &gt;=36mm</Name><Description>Ceramtec Delta Femoral Head</Description><Size>offsets S, M, L &amp; XL</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>272595</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF023</BillingCode><Name>Ceramic Femoral Head</Name><Description>Ceramic Femoral Head - Delta</Description><Size>36 to 44mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>272595</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT030</BillingCode><PriorBillingCodes><PriorBillingCode>TZ003</PriorBillingCode></PriorBillingCodes><Name>Adler Ceramic Head</Name><Description>Delta Alumina Ceramic Head</Description><Size>Short, Medium, Long, Extra Long; 36mm to 48mm</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>296607</ARTG><ARTG>206143</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN005</BillingCode><PriorBillingCodes><PriorBillingCode>RL001</PriorBillingCode></PriorBillingCodes><Name>Mac Surgical BIOLOX Delta Ceramic Heads 36mm and 40mm</Name><Description>BIOLOX Delta Ceramic Heads 36mm and 40mm</Description><Size>36mm and 40mm - both diameters are available in 4 different nead-neck-lengths (short, Medium, Long, X-Long)</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>230837</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ002</BillingCode><Name>Biolox Delta Femoral Head</Name><Description>Biolox Delta Ceramic Femoral Head</Description><Size>36mm, 40mm </Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>391991</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO182</BillingCode><Name>Link Biolox Delta Ceramic Head &gt; 32mm</Name><Description>Biolox Delta Ceramic Head &gt; 32mm</Description><Size>36mm - 40mm diameter</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>212053</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI075</BillingCode><Name>Large Delta Ceramic Head</Name><Description>Biolox Delta Head</Description><Size>36mm heads
10/12 and 12/14</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>281064</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB302</BillingCode><Name>Biolox Delta Ceramic Hip Prosthesis Head</Name><Description>Biolox Delta Ceramic Head</Description><Size>36 &amp; 40mm diameter</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>291964</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG002</BillingCode><Name>Biolox Delta Head</Name><Description>Zirconia toughened alumina femoral head</Description><Size>Ø36mm, 12/14 &amp; 16/18 tapers, Short - Extra Long Offsets</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>326800</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI116</BillingCode><Name>Biolox Delta Ceramic Revision Head</Name><Description>Biolox Delta Femoral Head</Description><Size>36mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>281065</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU095</BillingCode><Name>Biolox Delta Ceramic Ball heads</Name><Description>Ceramic femoral heads, BIOLOX® Delta Ai2 O3 -ZrO2</Description><Size>Ball Head 12/14 Ø 36 Sizes: S, M, L and XL
Ball Head 12/14 Ø 40 Sizes: S, M, L and XL
Ball Head 12/14 Ø 44 Sizes: S, M, L and XL</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>205465</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA004</BillingCode><Name>Ceramic Modular head</Name><Description>Biolox Delta Ceramic heads  &gt; 32mm</Description><Size>36, 40 and 44mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>285507</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR309</BillingCode><PriorBillingCodes><PriorBillingCode>GO307</PriorBillingCode></PriorBillingCodes><Name>BioBall Delta Femoral Head, &gt;32mm</Name><Description>Femoral Head Biolox Delta Ceramic, &gt;32mm</Description><Size>36mm, 40mm, 44mm, 48mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>276307</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI539</BillingCode><Name>Ceramic primary &amp; revision femoral head</Name><Description>Biolox Delta Ceramic</Description><Size>36 - 48mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>215999</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR029</BillingCode><Name>Stryker Large Femoral Head - Delta Ceramic </Name><Description>Delta Ceramic </Description><Size>36mm - 50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>206181</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH036</BillingCode><Name>Biolox Delta Option Ceramic Femoral Heads</Name><Description>ceramic modular head, biolox delta</Description><Size>36mm to 60mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>117715</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR179</BillingCode><Name>Ceramic Modular head</Name><Description>Biolox Delta Ceramic heads  &gt; 32mm</Description><Size>36, 40 and 44mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>157505</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA483</BillingCode><Name>Ceramys Large Ceramic Femoral Head</Name><Description>Ceramic, zirconia alumina combination, large diameters</Description><Size>36 XL, 36 L, 36 M, 36 S</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>236457</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC154</BillingCode><Name>Modular Biolox Delta Head</Name><Description>Modular Biolox Delta Head</Description><Size>36 - 40mm Small to Large</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>210721</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU118</BillingCode><Name>Mectacer Biolox Option Ceramic Heads (&gt;32)</Name><Description>Biolox Option Ceramic Femoral Heads</Description><Size>36mm, 40mm, 44mm, 48mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>206684</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG007</BillingCode><Name>Biolox Delta Ceramic Femoral Head 36mm</Name><Description>A sterile implantable component of a hip prostheses system intended to replace the femoral head in total hip arthroplasty procedures.</Description><Size>Diameter: 36mm
Taper: 12/14
Neck: S, M, L, XL
Centre of rotation: -3.5, 0, +3.5, +7.0mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>279805</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC192</BillingCode><Name>BioBall Delta Femoral Head</Name><Description>Femoral Head Biolox Delta</Description><Size>28mm, 32mm, 36mm, 40mm, 44mm, 48mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>227095</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM167</BillingCode><Name>Biolox Option Femoral Head</Name><Description>Biolox Option Ceramic Femoral Head</Description><Size>36mm and 40mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>430153</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN812</BillingCode><Name>Femoral Head</Name><Description>12/14, 14/16 Taper, Oxinium</Description><Size>&gt;32mm, -3 - +16mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3999</SubGroupID><ARTGs><ARTG>218141</ARTG><ARTG>218140</ARTG></ARTGs><MinimumBenefit>1626</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH620</BillingCode><Name>IC-Head Biolox delta</Name><Description>Biolox delta ceramic head</Description><Size>36mm and 40 mm. S, M, L and XL.</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3999</SubGroupID><ARTGs><ARTG>288475</ARTG></ARTGs><MinimumBenefit>1626</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ001</BillingCode><Name>ADEPT MoM Resurfacing Head</Name><Description>Resurfacing Head MoM, Cast CoChr</Description><Size>38-58 going up in 2mm increments</Size><SupplierCode>MJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1422</GroupID><SubGroupID>4000</SubGroupID><ARTGs><ARTG>192533</ARTG><ARTG>192534</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN743</BillingCode><Name>Birmingham Hip Resurfacing Prostheses -  Femoral Component</Name><Description>Cobal Chrome</Description><Size>48-62mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1422</GroupID><SubGroupID>4000</SubGroupID><ARTGs><ARTG>274333</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX049</BillingCode><Name>CLAVO™ Proximal Femoral Rotational-Stability Nail, Extra-Small/Small, 130° </Name><Description>Femoral Nail </Description><Size>9-12 mm D &lt;220mm length</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>378490</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK246</BillingCode><Name>Gamma LN</Name><Description>Standard - Titanium</Description><Size>120, 125, 130 Deg; Diameter 9-13mm; Length 170mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>95185</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD015</BillingCode><Name>Proximal Femur Nails</Name><Description>Nails</Description><Size>Diameter 11mm
Proximal Diameter 17mm
&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>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>161140</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ058</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 Femoral Nail, Titanium</Description><Size>170mm, 200mm
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>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>212235</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ183</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Gamma Intermediate</Description><Size>120, 125, 130 Deg; Diameter 9-13mm; Length 240mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>382682</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>95185</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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 9-15mm; Length 240-480mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>95185</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>212235</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX055</BillingCode><Name>CLAVO™ Proximal Femoral Rotational-Stability Nail, Standard/ Long, Left/ Right, 130°.</Name><Description>Femoral Nail</Description><Size>9-12mm D ≥ 220mm length</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>378490</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN521</BillingCode><Name>TriGen</Name><Description>Femoral Nail</Description><Size>8-18mm D ≥ 220mm length</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD016</BillingCode><Name>Proximal Femur Nail</Name><Description>Femoral Nail</Description><Size>Diameter 11mm
Proximal Diameter 17mm
Length ≥220mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>104370</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>161140</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ067</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 Femoral Nail - Long</Description><Size>340mm - 460mm
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>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ086</BillingCode><Name>PediNail System</Name><Description>Intramedullary Femoral Nail</Description><Size>7-10mm x 12-42cm
Left, Right</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>191587</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK202</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>SCN</Description><Size>Diameter 8mm - 15mm,   Length 170mm - 480mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>95185</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ398</BillingCode><PriorBillingCodes><PriorBillingCode>LM389</PriorBillingCode></PriorBillingCodes><Name>Modular Thumb Head and Stem </Name><Description>Modular Thumb Head and Stem</Description><Size>Suitable for patient anatomy</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6041</SubGroupID><ARTGs><ARTG>329234</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM389
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>420</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK600</BillingCode><Name>Elektra Stem</Name><Description>Cobalt Chromium/Hydroxyapatite coated</Description><Size>6-8mm</Size><SupplierCode>JV</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>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ788</BillingCode><PriorBillingCodes><PriorBillingCode>HW565</PriorBillingCode><PriorBillingCode>DD067</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>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6044</SubGroupID><ARTGs><ARTG>237799</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD067
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ789</BillingCode><PriorBillingCodes><PriorBillingCode>HW566</PriorBillingCode><PriorBillingCode>DD068</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>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6143</SubGroupID><ARTGs><ARTG>237799</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD068
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ791</BillingCode><PriorBillingCodes><PriorBillingCode>HW675</PriorBillingCode><PriorBillingCode>DD073</PriorBillingCode></PriorBillingCodes><Name>Tactys PIP - Proximal System</Name><Description>Proximal Surface and Stem</Description><Size>XS, S, M &amp; L</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6144</SubGroupID><ARTGs><ARTG>237793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD073
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ773</BillingCode><PriorBillingCodes><PriorBillingCode>SK597</PriorBillingCode><PriorBillingCode>DD071</PriorBillingCode></PriorBillingCodes><Name>PIP Finger Prosthesis</Name><Description>Proximal part PIP joint</Description><Size>0-5</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6144</SubGroupID><ARTGs><ARTG>237793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD071
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ774</BillingCode><PriorBillingCodes><PriorBillingCode>SK603</PriorBillingCode><PriorBillingCode>DD072</PriorBillingCode></PriorBillingCodes><Name>PIP Finger Prosthesis</Name><Description>Distal part PIP joint</Description><Size>0-5</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6145</SubGroupID><ARTGs><ARTG>237793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD072
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ790</BillingCode><PriorBillingCodes><PriorBillingCode>HW676</PriorBillingCode><PriorBillingCode>DD074</PriorBillingCode></PriorBillingCodes><Name>Tactys PIP - Distal System </Name><Description>Distal Surface and Stem</Description><Size>XS, S, M &amp; L</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6145</SubGroupID><ARTGs><ARTG>237793</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD074
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ787</BillingCode><PriorBillingCodes><PriorBillingCode>SK589</PriorBillingCode><PriorBillingCode>DD070</PriorBillingCode></PriorBillingCodes><Name>Sbi Silicone MCP Implant System</Name><Description>Silicon finger joint</Description><Size>Various</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>237799</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD070
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ786</BillingCode><PriorBillingCodes><PriorBillingCode>SK588</PriorBillingCode><PriorBillingCode>DD069</PriorBillingCode></PriorBillingCodes><Name>Sbi PIP Silicone Implant System</Name><Description>Silicone finger joint</Description><Size>Various</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>237800</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD069
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM053</BillingCode><Name>Osteotec Silicone Finger Implant</Name><Description>PIP Joint Replacement</Description><Size>00-9</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>118424</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN187</BillingCode><Name>Neuflex Finger</Name><Description>Silicon Interpositional device</Description><Size>0-60</Size><SupplierCode>MN</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>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>219396</ARTG><ARTG>215496</ARTG></ARTGs><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ969</BillingCode><Name>Global Shoulder System</Name><Description>Humeral Stem</Description><Size>6-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>138093</ARTG><ARTG>138288</ARTG><ARTG>137608</ARTG></ARTGs><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>218351</ARTG><ARTG>285717</ARTG></ARTGs><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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
6.5mmx200mm right 6.5mmx200mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>293562</ARTG><ARTG>293561</ARTG></ARTGs><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>211015</ARTG></ARTGs><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ971</BillingCode><Name>DELTA Xtend</Name><Description>Monoblock Humeral Stem</Description><Size>8-14mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>217441</ARTG></ARTGs><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ784</BillingCode><PriorBillingCodes><PriorBillingCode>DD059</PriorBillingCode></PriorBillingCodes><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
6 x 175mm, 8 x 175mm,10 x 175mm, 12 x 175mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>283578</ARTG><ARTG>283579</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD059
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ795</BillingCode><PriorBillingCodes><PriorBillingCode>DD005</PriorBillingCode></PriorBillingCodes><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>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>210938</ARTG><ARTG>215958</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD005
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>211015</ARTG></ARTGs><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>262959</ARTG><ARTG>218352</ARTG><ARTG>227906</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA038</BillingCode><Name>Equinoxe Preserve Humeral Stem</Name><Description>Press fit humeral stem</Description><Size>6 - 14mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>409490</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>ZA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ778</BillingCode><PriorBillingCodes><PriorBillingCode>DD032</PriorBillingCode></PriorBillingCodes><Name>Reverse Shoulder System</Name><Description>Humeral Stem, Ti</Description><Size>6mm to 12mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>210917</ARTG><ARTG>210915</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD032
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD066</BillingCode><Name>Altivate Reverse Humeral Stem</Name><Description>Altivate Reverse Humeral Stem</Description><Size>Standard and Small Shell, 108, 175 &amp; 220mm Length</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>297843</ARTG><ARTG>297842</ARTG></ARTGs><ChangeExplanation>Change to Organisation, Size
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>284180</ARTG><ARTG>284179</ARTG></ARTGs><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>12875</ARTG><ARTG>128449</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN374</BillingCode><Name>Global Shoulder System</Name><Description>Humeral Stem</Description><Size>6-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>223854</ARTG><ARTG>234875</ARTG><ARTG>234874</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN354</BillingCode><Name>GLOBAL ICON Stemless Shoulder System</Name><Description>Anchor Plate</Description><Size>40 to 56 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>395270</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU372</BillingCode><Name>Arthrex® UNIVERS™ II Humeral Stem</Name><Description>Uncoated Humeral Stem</Description><Size>6-15mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>308820</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU371</BillingCode><Name>Arthrex® UNIVERS™ II Monoblock Stem</Name><Description>Uncoated Monoblock Stem</Description><Size>5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>308819</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ785</BillingCode><PriorBillingCodes><PriorBillingCode>DD060</PriorBillingCode></PriorBillingCodes><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
6 x 175mm, 8 x 175mm, 10 x 175mm, 12 x 175mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>283578</ARTG><ARTG>283579</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD060
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ780</BillingCode><PriorBillingCodes><PriorBillingCode>DD036</PriorBillingCode></PriorBillingCodes><Name>Reverse Shoulder System</Name><Description>Humeral Socket Shell - Ti</Description><Size>Neutral, +4mm, +8mm offset</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4059</SubGroupID><ARTGs><ARTG>210937</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD036
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>2314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4059</SubGroupID><ARTGs><ARTG>218350</ARTG></ARTGs><MinimumBenefit>2314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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 68mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4059</SubGroupID><ARTGs><ARTG>221713</ARTG></ARTGs><MinimumBenefit>2314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ973</BillingCode><Name>Delta Shoulder System</Name><Description>Ephiphysis</Description><Size>1 – 2 in 26-42mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>143529</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN361</BillingCode><Name>Global Unite Reverse Fracture Epiphysis</Name><Description>Coated epiphysis, includes superior-lateral suture collar with suture holes. </Description><Size>Size 1. Centered, Left, and Right configurations</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>311439</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU193</BillingCode><Name>MSS - Medacta Shoulder System Reverse Metaphysis</Name><Description>Humeral Reverse and Eccentric Reverse Metaphysis</Description><Size>+0mm, +3mm, +9mm 0°, +/-20°, L and R</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>400832</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA035</BillingCode><Name>Equinoxe HRP Proximal Body</Name><Description>Anatomically shaped proximal bodies are designed to help restore the locations of the rotator cuff muscle insertions and increase deltoid wrapping to improve joint stability.</Description><Size>Extra-small, small, medium, large and extra-large</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>396474</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>208524</ARTG><ARTG>208525</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>234749</ARTG><ARTG>225315</ARTG><ARTG>234748</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>235005</ARTG><ARTG>234232</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ162</BillingCode><Name>Global Unite Standard Stem</Name><Description>Standard humeral stem</Description><Size>6-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>220179</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ161</BillingCode><Name>Global Unite Revision Stem</Name><Description>Long Humeral stem</Description><Size>6-12mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>220390</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH337</BillingCode><Name>Comprehensive Segmental Revision System</Name><Description>Comprehensive SRS Modular Stem</Description><Size>(4 to 18) mm dia x (75 to 200)mm length</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>266567</ARTG><ARTG>266559</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>218783</ARTG><ARTG>218715</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>208476</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>218731</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA033</BillingCode><Name>Equinoxe HRP Distal Stem Modular</Name><Description>Distal stem, cemented, modular</Description><Size>6mm - 13mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>396476</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ160</BillingCode><Name>Delta Xtend Shoulder System</Name><Description>Modular humeral stem</Description><Size>10-16mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4064</SubGroupID><ARTGs><ARTG>307921</ARTG></ARTGs><MinimumBenefit>2660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4064</SubGroupID><ARTGs><ARTG>277258</ARTG></ARTGs><MinimumBenefit>2660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC178</BillingCode><Name>SMR System - Finned &amp; Revision Humeral Stem</Name><Description>Finned Humeral Stem Ti6AI4V</Description><Size>Dia 11-26mm x Length 45 - 80mm, 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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU192</BillingCode><Name>MSS - Medacta Shoulder System Diaphysis</Name><Description>Uncemented Humeral Diaphysis Ti + HA coated</Description><Size>from 6 to 16 STD and Short</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4064</SubGroupID><ARTGs><ARTG>400830</ARTG></ARTGs><MinimumBenefit>2660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ970</BillingCode><Name>Global Shoulder System</Name><Description>CTA humeral head; Advantage, AP </Description><Size>Sizes 44-56mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><Suffix>EL</Suffix><ARTGs><ARTG>275073</ARTG><ARTG>275072</ARTG></ARTGs><MinimumBenefit>3941</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>3941</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><Suffix>EL</Suffix><ARTGs><ARTG>217443</ARTG></ARTGs><MinimumBenefit>3941</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ793</BillingCode><PriorBillingCodes><PriorBillingCode>DD003</PriorBillingCode></PriorBillingCodes><Name>Turon Shoulder System - Humeral Head</Name><Description>Turon Standard Humeral Head, Standard and Offset</Description><Size>38-54mm x 14-26mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>215957</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD003
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH349</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Super EAS Head</Description><Size>Length (mm) 15-22,  Diameter (mm) 40-54</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>221710</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN353</BillingCode><Name>GLOBAL ICON Stemless Shoulder System</Name><Description>Humeral Head</Description><Size>40 to 56 mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>395271</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>225057</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU261</BillingCode><Name>Eclipse Humeral Head Prosthesis</Name><Description>Eclipse Humeral Head Prosthesis Head</Description><Size>37/16 - 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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU370</BillingCode><Name>Arthrex® UNIVERS™ II Humeral Head</Name><Description>Humeral Head</Description><Size>40/17 - 56/24</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>308821</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>12875</ARTG><ARTG>128450</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>12875</ARTG><ARTG>128450</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH126</BillingCode><Name>Versadial Humeral Head</Name><Description>Humeral Head</Description><Size>Width (mm) 38-58  Diameter (mm) 38-64  Height (mm) 18-27</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>227907</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ965</BillingCode><Name>Global Shoulder System</Name><Description>Humeral heads</Description><Size>40–56mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>222178</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4068</SubGroupID><ARTGs><ARTG>223855</ARTG></ARTGs><MinimumBenefit>3040</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU194</BillingCode><Name>MSS - Medacta Shoulder System Reverse Liner</Name><Description>Humeral Reverse HC Liner</Description><Size>Diameter 32, 36, 39 and 42 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>400833</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN170</BillingCode><Name>Delta Shoulder System</Name><Description>Humeral cup: Standard PE, High Mobility PE, Lateral, Retentive, </Description><Size>36 to 42</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>217395</ARTG><ARTG>221374</ARTG><ARTG>212807</ARTG><ARTG>212806</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ781</BillingCode><PriorBillingCodes><PriorBillingCode>DD080</PriorBillingCode></PriorBillingCodes><Name>Reverse Socket Insert e+</Name><Description>Socket Inserts e+ Poly</Description><Size>Size - 32mm, 36mm, 40mm, 44mm, Standard and Small, Thickness - Standard and +4</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>400333</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD080
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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><ARTGs><ARTG>324463</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ779</BillingCode><PriorBillingCodes><PriorBillingCode>DD035</PriorBillingCode></PriorBillingCodes><Name>Reverse Shoulder System</Name><Description>Humeral Socket Insert - UHMWPE</Description><Size>32mm to 44mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>210933</ARTG><ARTG>210914</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD035
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA552</BillingCode><Name>Affinis Inverse inlay ceramys</Name><Description>Ceramic Humeral Cup</Description><Size>Size 36, 39, 42. Height 0mm, 3mm, 6mm.</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>238291</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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, 40mm+0, 40mm+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, 40mm+0, 40mm+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>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>275660</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</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 (36 to 41)mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>272677</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4073</SubGroupID><ARTGs><ARTG>277259</ARTG></ARTGs><MinimumBenefit>10877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA034</BillingCode><Name>Equinoxe HRP Middle Segment</Name><Description>HRP middle segment is used to reconstruct the humerus due to the varying levels of humeral resections</Description><Size>25mm - 75mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4073</SubGroupID><ARTGs><ARTG>396473</ARTG></ARTGs><MinimumBenefit>10877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4073</SubGroupID><ARTGs><ARTG>277259</ARTG></ARTGs><MinimumBenefit>10877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4076</SubGroupID><ARTGs><ARTG>224369</ARTG></ARTGs><MinimumBenefit>998</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ794</BillingCode><PriorBillingCodes><PriorBillingCode>DD002</PriorBillingCode></PriorBillingCodes><Name>Turon Shoulder System - Humeral Neck</Name><Description>Turon - Humeral Neck</Description><Size>Neutral and 7.5 Degree</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4076</SubGroupID><ARTGs><ARTG>216043</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD002
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>998</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO181</BillingCode><Name>SPII Model Lubinus Standard Hip Stem</Name><Description>Anatomical shaped hip prosthesis stem for cemented fixation in the human body.
- Minimal bone resection
- Uniform cement mantle around the whole stem
- Anatomically shaped stem resists rotational forces
Modular system allows adjustment to suit anatomical conditions</Description><Size>Stem Length: 130mm-170mm Throat Length: Short; Medium; Large; XL CCD Angle: 117 degrees; 126 degrees; 135 degrees Shape: Left; Right</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>212075</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN273</BillingCode><Name>Echelon/Spectron</Name><Description>Revision Hip Stem - Non-porous</Description><Size>165mm - 200mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>220103</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN301</BillingCode><Name>Spectron and Synergy</Name><Description>Femoral Stem Non Porous Offset</Description><Size>1- 20</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>220401</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA016</BillingCode><Name>CCA Cemented Femoral Stem</Name><Description>SS, straight, not polished</Description><Size>7.50mm -17.5mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>274203</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST576</BillingCode><Name>Stryker Omnifit Cemented Stem</Name><Description>Cemented  femoral component Cobal Chrome </Description><Size>Stem sizes 4-11</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>216632</ARTG><ARTG>217008</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB275</BillingCode><Name>Excia Hip Stem</Name><Description>Cemented CoCr Femoral Stem</Description><Size>9mm-18mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>321607</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB386</BillingCode><Name>Excia T Hip Stem</Name><Description>Cemented CoCr Femoral Stem</Description><Size>10 - 20 mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3939</SubGroupID><ARTGs><ARTG>321608</ARTG></ARTGs><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI127</BillingCode><Name>E2 Femoral Stem</Name><Description>Cemented Femoral Stem</Description><Size>Size 0 - 4  Offset 35.5mm, 37.5mm, 44mm and 50mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>383710</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR024</BillingCode><Name>Taperfit Femoral Stem</Name><Description>Double taper stainless steel femoral stem</Description><Size>sizes 0-4 with 4 different offsets</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU198</BillingCode><Name>AMIStem-C Femoral stems</Name><Description>Stainless Steel Cemented Femoral Stems</Description><Size>00 to 8 std 0 to 8 lat</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>233610</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC005</BillingCode><Name>Friendly Femoral Stem</Name><Description>Femoral Stem Cemented Tapered Polished FeCrNiMnMoNbN</Description><Size>0, 1, 2, 3</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>210666</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL156</BillingCode><Name>Polarstem Cemented</Name><Description>Cemented femoral stems</Description><Size>0 to 8</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>297722</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC026</BillingCode><Name>Lima Accent Hip System</Name><Description>Femoral Stem Cemented, tapered, polished</Description><Size>1 -6</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>168581</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA463</BillingCode><Name>twinSys Cemented Femoral Stem</Name><Description>stainless steel, highly polished, triple tapered</Description><Size>8 sizes in standard and lateral version (Size 9, 10, 11, 12, 13, 14, 15, 16)</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>274206</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF041</BillingCode><Name>Evolve ™ Cemented Stem</Name><Description>Polished Stem</Description><Size>Sizes 0-5, various offsets</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>279502</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG014</BillingCode><Name>Korus Stem Cemented</Name><Description>A straight femoral stem for use in hip prostheses systems.</Description><Size>125 and 135 degrees; sizes 1 to 9; offset 37 to 50 mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>368330</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ786</BillingCode><Name>Corail Hip System Cemented Femoral Stem</Name><Description>Stainless steel cemented, polished femoral stem, standard and high offsets</Description><Size>Size 8 - 20</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>273725</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU110</BillingCode><Name>X-Acta Femoral Stems</Name><Description>Stainless Steel Femoral Stems</Description><Size>Sizes 0 - 4 / Offsets 35.5 - 50 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>229510</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU001</BillingCode><Name>CONE Cemented Femoral Stem</Name><Description>CoCr, highly polished, triple taper</Description><Size>Standard sizes 1 to 8, Lateralized sizes 2 to 7</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>208874</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU004</BillingCode><Name>Quadra Hip Cemented Femoral Stem</Name><Description>High nitrogen stainless steel alloy, highly polished, double taper</Description><Size>Std 0 to 8. Lat 0 to 8  Std short neck 0 to 7.  Lat short neck 1 to 7.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>210442</ARTG><ARTG>356196</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ242</BillingCode><Name>X-acta Short Femoral Stem</Name><Description>Stainless Steel Femoral Stems</Description><Size>Sizes 0 - 4 / Offsets 37.5 - 44 - 50 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><ARTGs><ARTG>229510</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN268</BillingCode><Name>CPCS</Name><Description>Femoral Stem Polished Non Porous, Std and High Offset</Description><Size>XSM, 0-5</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>225651</ARTG><ARTG>220355</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP546</BillingCode><Name>C-Stem AMT Femoral Stem</Name><Description>Stainless steel Ortron 90, highly polished, triple taper</Description><Size>Size 1-8 standard Offset, Size 1-8 High Offset, Long Size 2-3, Standard Offset; Long Size 2-3 High Offset; CDH and 1A to 3A sizes</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>312663</ARTG><ARTG>312661</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI373</BillingCode><Name>MS-30 Hip prosthesis</Name><Description>Stainless steel, polished tapered</Description><Size>6 to 16</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>210391</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI009</BillingCode><Name>Zimmer CPT Hip Systems Femoral Stem</Name><Description>Co Cr (Zimaloy), polished and tapered</Description><Size>Sizes 1 - 5</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>208688</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW041</BillingCode><Name>Exeter Hip System</Name><Description>Stainless Steel (Orthinox)</Description><Size>Stem Sizes 0-6, Offsets 30, 33, 35.5, 37.5, 44, 50 &amp; 56mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>205392</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV034</BillingCode><Name>Profemur Xm Femoral Stem</Name><Description>Femoral Stem, CoCr, Cemented, Polished</Description><Size>0-4</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>3941</SubGroupID><Suffix>Removable Neck</Suffix><ARTGs><ARTG>234445</ARTG></ARTGs><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT033</BillingCode><PriorBillingCodes><PriorBillingCode>TZ035</PriorBillingCode></PriorBillingCodes><Name>Pantheon Cemented Stem</Name><Description>Ti6Al4V Mirror polished</Description><Size>Diameter 10-16mm Length 115</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1404</GroupID><SubGroupID>7374</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>389894</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA028</BillingCode><Name>Mathys Stainless Steel Femoral Heads</Name><Description>Stainless Steel, </Description><Size>22-32mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>210158</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC195</BillingCode><Name>BioBall Femoral Head</Name><Description>Femoral Head Vivium ≤ 32mm</Description><Size>28mm,  32mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>227096</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN697</BillingCode><Name>Femoral Head</Name><Description>Stainless steel</Description><Size>22-32mm,+0-+16mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>218184</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI058</BillingCode><Name>metallic femoral head</Name><Description>M30NW femoral head with 10/12 taper</Description><Size>22.2mm - 32mm short, medium, long</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>210159</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW038</BillingCode><Name>V40 Orthinox Head</Name><Description>Stainless Steel</Description><Size>22 - 28mm dia</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>211869</ARTG><ARTG>211859</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ184</BillingCode><Name>Bioball </Name><Description>Bioball Vivium Femoral Head </Description><Size>28mm and 32mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3988</SubGroupID><ARTGs><ARTG>266538</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF033</BillingCode><Name>Metal Femoral Head</Name><Description>Cobalt Chrome</Description><Size>28mm - 32mm</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>272594</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB246</BillingCode><Name>Aesculap 12/14 Metal Femoral Head</Name><Description>Isodur CoCr Femoral Head</Description><Size>28mm, 32mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>279750</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH621</BillingCode><PriorBillingCodes><PriorBillingCode>OO034</PriorBillingCode></PriorBillingCodes><Name>IC-Head CoCrMo</Name><Description>IC Head, CoCrMo</Description><Size>22,28,32mm - S-M-L-XL</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>291215</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN280</BillingCode><Name>Femoral Head</Name><Description>CoCr</Description><Size>&lt;=32mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>218139</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF046</BillingCode><Name>Signature Femoral Head &lt;=32mm</Name><Description>Cobalt Chrome Femoral head</Description><Size>Offsets S, M, L &amp; XL</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>272594</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI094</BillingCode><Name>Ampllitude CoCr Femoral Head</Name><Description>Femoral Heads, CoCr</Description><Size>Diameter 22.2mm, 28mm, 32mm  Short, Medium, Long and XLong.</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>389273</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR026</BillingCode><Name>Stryker CoCr Femoral Head</Name><Description>Cobal Chrome with LFIT Treatment</Description><Size>22.2-32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><Suffix>Low Frequency Ion Treatment</Suffix><ARTGs><ARTG>211868</ARTG><ARTG>211867</ARTG></ARTGs><MinimumBenefit>1280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW648</BillingCode><Name>METS CoCr Femoral Head</Name><Description>CoCr</Description><Size>28mm-32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>330362</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA469</BillingCode><Name>Mathys CoCr Femoral Head </Name><Description>Hip Prosthesis Femoral Head CoCrMo ≤32mm</Description><Size>22.2mm, 28 mm &amp; 32mm, (S,M,L,XL,XXL)</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>274272</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI051</BillingCode><Name>Femoral Head</Name><Description>CoCr Femoral heads</Description><Size>22mm - 32mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>346245</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF005</BillingCode><Name>ESOP HA</Name><Description>Femoral Head CoCr</Description><Size>22.2 -32mm</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>141169</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX022</BillingCode><Name>Exactech Femoral Head</Name><Description>Cobalt Chrome Head</Description><Size>-3.5mm to +10mm, 22mm to 32mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>293800</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ003</BillingCode><Name>Cobalt Chrome Femoral Head</Name><Description>CoCr Femoral Head</Description><Size>22.2mm, 28mm, 32mm</Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>392730</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH434</BillingCode><Name>Samo acetabular cup femoral head</Name><Description>CoCr femoral head</Description><Size>S, M, L and XL</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU005</BillingCode><Name>Quadra Hip Femoral Head</Name><Description>CoCr</Description><Size>Dia 22mm (S to M)  Dia 28mm (S to XXL)  Dia 32mm (S to XXL)</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>210392</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO022</BillingCode><Name>Link Prosthesis Femoral Head</Name><Description>Prosthesis Head "B" CoCrMo</Description><Size>Short/medium-short/medium/Long/X-long  22mm - 32mm: Length -3.5 to +10.5</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>212089</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD050</BillingCode><Name>FMP Acetabular System - CoCro Femoral Heads</Name><Description>CoCro femoral heads in 22mm and 32mm diameters to fit with FMP acetabular liners and FMP acetabular shells</Description><Size>22mm in +0,+4,+8mm and 32mm in -4.0, +4, +8, +12mm, diameters</Size><SupplierCode>DD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>210902</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV035</BillingCode><Name>Femoral Head</Name><Description>Femoral Head CoCr</Description><Size>22.25-32mm
Short-XLong
-3.5-+10.5mm</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>262372</ARTG><ARTG>263792</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG005</BillingCode><Name>SMR Femoral Head</Name><Description>CoCr</Description><Size>22 to 40mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>280608</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP124</BillingCode><Name>DePuy Femoral Head</Name><Description>CoCr Femoral Head Various Tapers &amp; Neck Lengths</Description><Size>22-32 mm </Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>231693</ARTG><ARTG>224613</ARTG><ARTG>224755</ARTG><ARTG>211855</ARTG><ARTG>222991</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD001</BillingCode><Name>Evolutis CoCr Femoral Head</Name><Description>CoCr Femoral Head</Description><Size>22mm, 28mm and 32mm diameter</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>268273</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC032</BillingCode><Name>Modular Head</Name><Description>Modular Head CoCrMo</Description><Size>28-32mm Diameter Small to XXXLarge</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>210718</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI973</BillingCode><Name>Modular Head Implants</Name><Description>Femoral Modular Head</Description><Size>22 - 32mm diameter, - 6 to =12mm neck, collared, no collar</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>98097</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI380</BillingCode><Name>Femoral Head</Name><Description>Head - Metal (Zweymuller Allopro) - CoCr</Description><Size>22mm, 28mm, 32mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>216181</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR029</BillingCode><Name>CoCr Femoral Head</Name><Description>CoCr femoral head</Description><Size>Dia 22,26,28,32mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>224980</ARTG><ARTG>220077</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW032</BillingCode><Name>Stryker CoCr Femoral Head</Name><Description>Hip - Femoral Head</Description><Size>22, 26, 28, 30, 32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>211858</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI358</BillingCode><Name>Durasul Ballhead for Inserts</Name><Description>CoCr femoral head</Description><Size>22, 28, 32</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>216181</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF006</BillingCode><Name>ESOP HA</Name><Description>Femoral Head Alumina Ceramic</Description><Size>28 and 32mm Diameter</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3990</SubGroupID><ARTGs><ARTG>141169</ARTG></ARTGs><MinimumBenefit>1568</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW017</BillingCode><Name>Stryker Biolox Forte Alumina Femoral Head</Name><Description>Hip - Femoral Head</Description><Size>28, 32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3990</SubGroupID><ARTGs><ARTG>217828</ARTG><ARTG>206180</ARTG></ARTGs><MinimumBenefit>1568</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA020</BillingCode><Name>Mathys Ceramic Femoral Head</Name><Description>Ceramic, Bionit (alumina)</Description><Size>diameter 28-32mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3990</SubGroupID><ARTGs><ARTG>210564</ARTG></ARTGs><MinimumBenefit>1568</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH433</BillingCode><Name>Samo acetabular cup ceramic head</Name><Description>Ceramic femoral head</Description><Size>S, M, L, and XL</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3990</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>1568</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ001</BillingCode><Name>Biolox Delta Femoral Head</Name><Description>Biolox Delta Ceramic Femoral Head</Description><Size>28mm, 32mm</Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>391991</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR180</BillingCode><Name>Ceramic modular head</Name><Description>Biolox Delta Ceramic heads 32mm or less</Description><Size>28 and 32mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>157505</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA482</BillingCode><Name>Ceramys Ceramic Femoral Head</Name><Description>Ceramic, zirconia alumina combination</Description><Size>28 L,  28 M, 28 S, 32 XL, 32 L, 32 M, 32 S</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>236457</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA002</BillingCode><Name>Ceramic modular head</Name><Description>Biolox Delta Ceramic heads 32mm or less</Description><Size>28 and 32mm</Size><SupplierCode>FA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>285507</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI538</BillingCode><Name>Ceramic primary &amp; revision femoral head</Name><Description>Biolox Delta Ceramic</Description><Size>28 &amp; 32mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>215999</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO184</BillingCode><Name>Link Biolox Delta Head, ≤32mm</Name><Description>Link Biolox Delta Head, ≤32mm</Description><Size>28 mm - 32 mm diameter</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>212053</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN004</BillingCode><PriorBillingCodes><PriorBillingCode>RL002</PriorBillingCode></PriorBillingCodes><Name>Mac Surgical BIOLOX Delta ceramic heads 28mm and 32mm</Name><Description>BIOLOX Delta ceramic heads</Description><Size>T28mm and 32mm is available with a diameter of 28 and 32mm. The 28mm diameter is availble in 3 different head-neck lengths ( Short, medium long). The 32mm diameter lengths (short, medium long, X-long)</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>230837</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU117</BillingCode><Name>Mectacer Biolox Option Ceramic Heads (&lt;32)</Name><Description>Biolox Option Ceramic Femoral Heads</Description><Size>28mm &amp; 32mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>206684</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU096</BillingCode><Name>Biolox Delta Ceramic Ball Heads</Name><Description>Ceramic femoral heads, BIOLOX® Delta AI2 O3 -ZrO2</Description><Size>Ball Head 12/14 Ø 28 Sizes: S, M and L
Ball Head 12/14 Ø 32 sizes: S, M, L and XL</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>205465</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV038</BillingCode><Name>Delta Modular Heads</Name><Description>Biolox Delta Heads</Description><Size>28-32mm
Short, Medium, Long</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>240574</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI058</BillingCode><Name>Modular Ceramic System</Name><Description>Ceramic Head, Aluminium Alloy, biolox Delta</Description><Size>28-32mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>231755</ARTG><ARTG>224752</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR310</BillingCode><PriorBillingCodes><PriorBillingCode>GO308</PriorBillingCode></PriorBillingCodes><Name>BioBall Delta Femoral Head, 32mm or less</Name><Description>Femoral Head Biolox Delta Ceramic, 28mm and 32mm</Description><Size>28mm, 32mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>276307</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ818</BillingCode><Name>DePuy Delta TS Heads</Name><Description>Delta ceramic femoral head with titanium sleeve</Description><Size>≤32mm, +1 to +12</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>217543</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR028</BillingCode><Name>Stryker Delta Ceramic Heads</Name><Description>Femoral Head - Delta Ceramic</Description><Size>&amp;lt;32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>206181</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF044</BillingCode><Name>Signature Delta Femoral Head &lt;=32mm</Name><Description>Ceramtec Delta Ceramic Femoral Head</Description><Size>Offsets S, M, L &amp; XL</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>272595</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM165</BillingCode><Name>Biolox Option Femoral Head</Name><Description>Biolox Option Ceramic Femoral Head</Description><Size>28mm and 32mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>430153</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG006</BillingCode><Name>Biolox Delta Ceramic Femoral Heads</Name><Description>Biolox Delta Ceramic Femoral Heads 28mm 32mm</Description><Size>Biolox Delta Femoral Head 28mm - -3.5mm to +3.5mm and Biolox Delta Femoral Head 32mm - 3.5mm to +7mm</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>279805</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC152</BillingCode><Name>Modular Biolox Delta Head</Name><Description>Modular Biolox Delta Head</Description><Size>28 - 32mm Small to Large</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>210721</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ752</BillingCode><Name>DePuy Delta Heads</Name><Description>Delta femoral head various tapers &amp; neck lengths</Description><Size>≤32mm</Size><SupplierCode>MN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>232415</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD003</BillingCode><Name>Delta Ceramic Femoral Head</Name><Description>Delta Ceramic Head</Description><Size>28mm to 32mm diameter</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>273049</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC153</BillingCode><Name>Revision Modular Biolox Delta Head</Name><Description>Revision Modular Biolox Delta Head Ti6AI4V 12/14 Taper</Description><Size>28 - 32mm Small to Xlarge</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>210872</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH619</BillingCode><PriorBillingCodes><PriorBillingCode>OO032</PriorBillingCode></PriorBillingCodes><Name>IC- Head Biolox delta</Name><Description>Biolox delta ceramic head</Description><Size>28 and 32mm. Small, medium and large.</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>288475</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI115</BillingCode><Name>Biolox Delta Ceramic Revision Head</Name><Description>Biolox Delta Femoral Head</Description><Size>28mm and 32mm</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>281065</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI074</BillingCode><Name>Delta Ceramic Head</Name><Description>Biolox Delta Head</Description><Size>28 and 32mm heads
10/12 and 12/14</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>281064</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB250</BillingCode><Name>Biolox Delta Ceramic Hip Prosthesis Head</Name><Description>Biolox Delta Ceramic Head</Description><Size>28 &amp; 32mm diameter</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>291964</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG004</BillingCode><Name>Biolox Delta Head</Name><Description>Zirconia Toughened Alumina Femoral Head</Description><Size>Ø28mm - 32mm, 12/14 &amp; 16/18 Tapers, Short - Extra Long Offset</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>326800</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT029</BillingCode><PriorBillingCodes><PriorBillingCode>TZ002</PriorBillingCode></PriorBillingCodes><Name>Adler Ceramic Head</Name><Description>Ceramic Femoral Heads. Biolox Delta</Description><Size>Short, Medium, Long, Extra Long, 22 - 32mm Outer Diameter 12/14 Taper</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>206143</ARTG><ARTG>296607</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM144</BillingCode><Name>Universal Delta Ceramic Femoral Head</Name><Description>Delta Ceramic</Description><Size>&lt;=32 - S, M, L, XL,XXL</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><ARTGs><ARTG>218138</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA484</BillingCode><Name>Ceramys Ceramic Revision Femoral Head</Name><Description>Ceramic, zirconia alumina combination, supplied with titanium taper sleeve</Description><Size>28 L, 28 M, 28 S, 28 XL, 32 L, 32 M, 32 S, 32 XL, 28, 32</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3992</SubGroupID><Suffix>Sleeve</Suffix><ARTGs><ARTG>274113</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN687</BillingCode><Name>Femoral Head</Name><Description>12/14, 14/16 Taper, Oxinium</Description><Size>22 - 32mm, -3 - +16mm</Size><SupplierCode>SL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3993</SubGroupID><ARTGs><ARTG>218140</ARTG></ARTGs><MinimumBenefit>1698</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>SL</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>2024-11-01</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><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB079</BillingCode><Name>Mini Nailing System Reconstruction Screw</Name><Description>Mini Nailing System Reconstruction Screw</Description><Size>10mm - 40mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>76714</ARTG><ARTG>139625</ARTG></ARTGs><MinimumBenefit>253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN775</BillingCode><Name>IMHS CP</Name><Description>Set Screw, Stainless Steel</Description><Size>Standard</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ560</BillingCode><Name>AEQUALIS IM Nail Humeral Fracture System</Name><Description>Distal Screws </Description><Size>20-32mm </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>148960</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU357</BillingCode><Name>Dual Compression Hindfoot Nail - Low Profile Screws</Name><Description>Low Profile Cortical Screws </Description><Size>5mm Diamater  20mm-32mm  35mm-60mm  </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY789</BillingCode><Name>AO/ASIF intramedullary Nails</Name><Description>Locking Screws/Bolts/Nuts, Titanium Alloy</Description><Size>4 mm (18-80 mm length), 5 mm (26-120 mm length)</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>133919</ARTG><ARTG>157068</ARTG><ARTG>297881</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ063</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>Set Screws</Description><Size>Single Size; Angles: 120, 125, 130 degrees</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>157068</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH732</BillingCode><Name>Precice Intramedullary Limb Lengthening System</Name><Description>Precice Fully Threaded Locking Screw</Description><Size>4-5mm (Diameter) x 20-100mm (Length)</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>244569</ARTG><ARTG>244568</ARTG><ARTG>290819</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ477</BillingCode><PriorBillingCodes><PriorBillingCode>ER382</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER382
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER687</BillingCode><Name>Paragon 28 Phantom Hindfoot TTC Nail System-Threaded Peg</Name><Description>Tibial, calcaneal or subtalar threaded peg/crossing screw</Description><Size>Diameter: 5.0mm; Length: 20mm – 70mm in 2mm increments.   Diameter: 7.2mm; Length: 45mm – 120mm in 5mm increments.</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>402229</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU363</BillingCode><Name>Dual Compression Hindfoot Nail - Headless Screws</Name><Description>Titanium Headless Cortical Screws</Description><Size>Diameter: 5mm   Length: 50mm-120mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK247</BillingCode><Name>Gamma LN</Name><Description>Set Screw - Titanium</Description><Size>8x17.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>139625</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>139625</ARTG><ARTG>313420</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN739</BillingCode><Name>Trigen</Name><Description>Self Tapping Cortical Screw</Description><Size>20mm - 110mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>195009</ARTG><ARTG>195008</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ768</BillingCode><Name>AEQUALIS IM Nail Humeral Fracture System</Name><Description>Proximal Screws </Description><Size>28-56mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>148960</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>313420</ARTG><ARTG>139625</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH541</BillingCode><Name>Precice Intramedullary Limb Lengthening System</Name><Description>Precice Partially Threaded 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>244569</ARTG><ARTG>290819</ARTG><ARTG>244568</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER686</BillingCode><Name>Paragon 28 Phantom Hindfoot TTC Nail System-Internal Compression Screw</Name><Description>Compression screw</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>402229</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>139625</ARTG><ARTG>313420</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>324375</ARTG><ARTG>324374</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK248</BillingCode><Name>Gamma LN</Name><Description>Proximal/Extension Plug - Titanium</Description><Size>0mm, 5mm, 10mm, 15mm</Size><SupplierCode>JV</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>2024-11-01</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>ZA</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>2024-11-01</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>195008</ARTG><ARTG>109214</ARTG><ARTG>195009</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU367</BillingCode><Name>Dual Compression Hindfoot Nail - End Cap</Name><Description>End Cap for DualCompression Hindfoot Nail</Description><Size>Standard, 2.5mm, 5mm, 10mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>409311</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ087</BillingCode><Name>Intramedullary Nail End Caps</Name><Description>PediNail End Caps
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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 - 5mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>213856</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER685</BillingCode><Name>Paragon 28 Phantom Hindfoot TTC Nail System-End Cap</Name><Description>Shouldered or compression end cap</Description><Size>short or long</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>402215</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX053</BillingCode><Name>CLAVO™ Nail Cap for PFRN, Extension 0, 5, 10, 15 mm</Name><Description>Extension Nail Cap For Proximal Femoral Rotational Nail.</Description><Size>0 - 15 mm</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>378490</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN713</BillingCode><Name>Trigen</Name><Description>Stable-Lok Nut</Description><Size>One Size Only</Size><SupplierCode>SL</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN498</BillingCode><Name>Intramedullary Nailing System</Name><Description>Nail Cap</Description><Size>0 - 30 mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>104370</ARTG><ARTG>104369</ARTG><ARTG>137602</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>244569</ARTG><ARTG>290819</ARTG><ARTG>244568</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>ZA</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>2024-11-01</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>104370</ARTG><ARTG>104369</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN774</BillingCode><Name>IMHS CP</Name><Description>Captured Compression Screw, Stainless Steel</Description><Size>19mm</Size><SupplierCode>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>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</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>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>227971</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>139625</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY126</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Spiral blade</Description><Size>Length 34 - 100mm</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>227971</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Comp</Suffix><ARTGs><ARTG>313420</ARTG><ARTG>139625</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY285</BillingCode><Name>AO/ASIF Intramedullary nails</Name><Description>Helical blade</Description><Size>65-135mm length</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>227971</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>139625</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ685</BillingCode><Name>Gamma 4 RC Lag Screw</Name><Description>Lag screw set with U-Blade and U-Blade locking end cap</Description><Size>Diameter: 10.5mm, Length: 70-130mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>340044</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ030</BillingCode><PriorBillingCodes><PriorBillingCode>LM370</PriorBillingCode></PriorBillingCodes><Name>Intramedullary Nail Screw</Name><Description>Intramedullary Nail Screw</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX051</BillingCode><Name>CLAVO™ Anti-Rotation Screw for PFRN</Name><Description>Anti-rotation screw</Description><Size>Length 75-120mm</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>378490</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK048</BillingCode><Name>AHN Locking End Caps</Name><Description>AHN end cap.</Description><Size>0mm, 5mm, 10mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>377915</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ071</BillingCode><PriorBillingCodes><PriorBillingCode>LM378</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic screw cap</Name><Description>Orthopaedic screw cap</Description><Size>All sizes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL241</BillingCode><Name>EVOS</Name><Description>Screw Accessories, Hole Filler</Description><Size>3.5mm and 4.5mm  </Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>368491</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA554</BillingCode><Name>Affinis Inverse cap</Name><Description>Titanium screw locking cap</Description><Size>one size</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>241996</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN945</BillingCode><Name>Peri-Loc</Name><Description>Screw Accessories, Hole Filler</Description><Size>4.5mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>119660</ARTG><ARTG>76592</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
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>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</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>368491</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>99767</ARTG><ARTG>104369</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK529</BillingCode><Name>Stryker Cannulated Screw System</Name><Description>Asnis III Cannulated screws  Asnis JFX Cannulated Compression Screw</Description><Size>5.0-8.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>340042</ARTG><ARTG>119660</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ474</BillingCode><PriorBillingCodes><PriorBillingCode>ER392</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER392
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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</Suffix><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI872</BillingCode><Name>Zimmer Cannulated Screw System</Name><Description>7.0mm Cannulated Screw 32mm Thread
7.0mm Cannulated Screw Full Thread</Description><Size>7.0mm Cannulated Screw 32mm Thread. L=140
7.0mm Cannulated Screw Full Thread. L=140
7.0mm Cannulated Screw 32mm Thread. L=145
7.0mm Cannulated Screw Full Thread. L=145
7.0mm Cannulated Screw 32mm Thread. L=150
7.0mm Cannulated Screw Full Thread. L=150
7.0mm Cannulated Screw 32mm Thread. L=155
7.0mm Cannulated Screw Full Thread. L=155
7.0mm Cannulated Screw 32mm Thread. L=160
7.0mm Cannulated Screw Full Thread. L=160
7.0mm Cannulated Screw 32mm Thread. L=165
7.0mm Cannulated Screw Full Thread. L=165
7.0mm Cannulated Screw 32mm Thread. L=170
7.0mm Cannulated Screw Full Thread. L=170
7.0mm Cannulated Screw 32mm Thread. L=175
7.0mm Cannulated Screw Full Thread. L=175
7.0mm Cannulated Screw 32mm Thread. L=180
7.0mm Cannulated Screw Full Thread. L=180</Size><SupplierCode>ZA</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>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ525</BillingCode><PriorBillingCodes><PriorBillingCode>ER523</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER523
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO001</BillingCode><PriorBillingCodes><PriorBillingCode>LM395</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screws</Name><Description>Cannulated Screws</Description><Size>4.50 mm or larger diameter</Size><SupplierCode>KO</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>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ017</BillingCode><PriorBillingCodes><PriorBillingCode>LM288</PriorBillingCode><PriorBillingCode>LM288</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Bone Screw</Description><Size>4.5mm diameter and larger</Size><SupplierCode>LV</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>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>153087</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ775</BillingCode><PriorBillingCodes><PriorBillingCode>DD054</PriorBillingCode></PriorBillingCodes><Name>Replacement retaining screw for glenoid head</Name><Description>Replacement retaining screw for glenoid head</Description><Size>6.5mm x 30mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>212521</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD054
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><ARTG>297881</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>368491</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN769</BillingCode><Name>Peri-Loc</Name><Description>Locking Cannulated Screws</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>104369</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ256</BillingCode><Name>Colink 4.5 Variable Angle locking Screws</Name><Description>Variable Angle Locking Titanium Alloy Screws 4.5 mm</Description><Size>20mm - 50mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ254</BillingCode><Name>Colink 4.5 locking Screws</Name><Description>Locking Titanium Alloy Screws 4.5 mm</Description><Size>20mm - 50 mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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,
50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm,
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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>260682</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>210290</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ582</BillingCode><Name>Extremity Medical  Screw System</Name><Description>Cannulated Screws</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>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM143</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>368491</ARTG><ARTG>104369</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW531</BillingCode><Name>Stryker Plating System</Name><Description>Locking Screw</Description><Size>5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV011</BillingCode><Name>Perform Reverse Central Locking Screw</Name><Description>Titanium Locking Screw</Description><Size>6.5mm, 9.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>386960</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>182343</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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</Suffix><ARTGs><ARTG>164980</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ105</BillingCode><PriorBillingCodes><PriorBillingCode>EF004</PriorBillingCode></PriorBillingCodes><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>ZZ</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>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ037</BillingCode><PriorBillingCodes><PriorBillingCode>LM350</PriorBillingCode><PriorBillingCode>LM350</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Screw</Name><Description>Fixation Screw</Description><Size>4.5mm and larger diameter, all lengths</Size><SupplierCode>LV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO002</BillingCode><PriorBillingCodes><PriorBillingCode>LM397</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screws</Name><Description>Headless Compression Screws</Description><Size>4.50mm or larger diameter</Size><SupplierCode>KO</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>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ026</BillingCode><PriorBillingCodes><PriorBillingCode>LM287</PriorBillingCode><PriorBillingCode>LM287</PriorBillingCode></PriorBillingCodes><Name>IBS Screw</Name><Description>Compression Screw</Description><Size>4.5, 6.5 &amp; 8.0mm diameter</Size><SupplierCode>LV</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>2024-11-01</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>JV</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>2024-11-01</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>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW982</BillingCode><Name>SALVATION Limb Salvage System Intramedullary Fusion Beams</Name><Description>Intramedullary Fusion Beams</Description><Size>5 - 7mm x 50 - 170mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>198549</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>295226</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ526</BillingCode><PriorBillingCodes><PriorBillingCode>ER522</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER522
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ568</BillingCode><Name>PROstep Compression Screw</Name><Description> Cannulated compression screw</Description><Size>Diameter: 5mm, Length: 30-80mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ571</BillingCode><Name>Extremity Medical Screw System</Name><Description>Cannulated Screws </Description><Size>greater than or equal to 4.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM142</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ567</BillingCode><Name>BioFix Locking Screw</Name><Description>Locking Bone Screw</Description><Size>Diam greater than 4.5mm length 15 to 110mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>446431</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH317</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>Distal screw</Description><Size>30-80mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI205</BillingCode><Name>Zimmer Screws</Name><Description>4.5mm Cortical Screws</Description><Size>14 - 120mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI891</BillingCode><Name>NCB System</Name><Description>NCB Screws</Description><Size>14- 100mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>260178</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>153087</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM554</BillingCode><Name>Skeletal Dynamics Bone Screw Non-Locking</Name><Description>Bone Screw Non-Locking</Description><Size>4.5mm diameter, 14 to 40mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA553</BillingCode><Name>Affinis Inverse Screw with Locking Cap</Name><Description>Titanium Screw with Locking Cap</Description><Size>Length 15mm to 51mm  Diameter 4.5mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>241996</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>198549</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>119660</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT097</BillingCode><Name>Nexos Screw</Name><Description>4.5mm Screws</Description><Size>4.5mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>276650</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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</Description><Size>5mm Dia x (20 to 110)mm length</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA037</BillingCode><Name>Equinoxe HRP Taper Locking Screw</Name><Description>A range of sizes of locking screws to secure the proximal body to the distal stem after all taper segments have been individually impacted and engaged.</Description><Size>0mm - 162.5mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>396477</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ072</BillingCode><PriorBillingCodes><PriorBillingCode>LM381</PriorBillingCode><PriorBillingCode>LM381</PriorBillingCode></PriorBillingCodes><Name>Screw and Locking Cap</Name><Description>Screw and Locking Cap</Description><Size>4.5 mm and larger diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ098</BillingCode><Name>Austofix L&amp;C Large Fragment Plate and Screw System</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><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ475</BillingCode><PriorBillingCodes><PriorBillingCode>ER393</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER393
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU210</BillingCode><Name>Low Profile Screw</Name><Description>Low Profile Screw</Description><Size>4.5mm - 5.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU190</BillingCode><Name>MSS - Medacta Shoulder System Polyaxial Locking Screws</Name><Description>Glenoid Polyaxial Locking Screws</Description><Size>from 14 to 50 mm in 4mm steps</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>400831</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ674</BillingCode><Name>Agomed Headless Screws</Name><Description>Standard cannulated compression titanium screws</Description><Size>Greater than 4.5mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>260682</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU191</BillingCode><Name>MSS - Medacta Shoulder System Polyaxial Non-Locking Screws</Name><Description>Polyaxial Non-Locking Screws</Description><Size>from 14 to 50 mm in 4mm steps</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>400831</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI207</BillingCode><Name>Zimmer Screws</Name><Description>6.5mm Cancellous Screws</Description><Size>25 - 120mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX052</BillingCode><Name>CLAVO™ 4.9mm Locking Bolt, Self Tapping, (TAN), L26mm – L100mm</Name><Description>Locking Bolts, Titanium Alloy</Description><Size>Diameter - 4.9 mm, Length: 26 - 100 mm</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>378490</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ671</BillingCode><Name>Agomed Headed Screw</Name><Description>Standard cannulated titanium screws</Description><Size>Greater than 4.5mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>153087</ARTG><ARTG>203607</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH167</BillingCode><Name>Comprehensive Reverse Shoulder System - Screws</Name><Description>Screw, Non-Locking</Description><Size>(4.75 or 6.5)mm x 15-50mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>210290</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>25735</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV013</BillingCode><Name>Perform Reverse Peripheral Fixation Screw</Name><Description>Locking Fixation Screw</Description><Size>5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>314266</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>291613</ARTG><ARTG>214803</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ414</BillingCode><PriorBillingCodes><PriorBillingCode>LM507</PriorBillingCode></PriorBillingCodes><Name>Partially threaded cannulated screw</Name><Description>Partially threaded cannulated screw</Description><Size>≥4.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM507
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>25735</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ367</BillingCode><PriorBillingCodes><PriorBillingCode>LM277</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Post with Cross Element</Name><Description>Threaded Locking Screw</Description><Size>5.2mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM277
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ044</BillingCode><PriorBillingCodes><PriorBillingCode>LM374</PriorBillingCode></PriorBillingCodes><Name>Plate Screw</Name><Description>Plate Screw</Description><Size>4.5mm diameter and greater</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>368491</ARTG><ARTG>104369</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK052</BillingCode><Name>AHN Screw</Name><Description>Compression screw.</Description><Size>20 - 120mm length.  5mm diameter.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>377918</ARTG><ARTG>377916</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ473</BillingCode><PriorBillingCodes><PriorBillingCode>ER391</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER391
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ771</BillingCode><PriorBillingCodes><PriorBillingCode>DD056</PriorBillingCode></PriorBillingCodes><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>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>212469</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD056
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ396</BillingCode><PriorBillingCodes><PriorBillingCode>LM506</PriorBillingCode></PriorBillingCodes><Name>Locking Screw (Standard)</Name><Description>Locking Screw (Standard)</Description><Size>≥4.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM506
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ570</BillingCode><Name>Extremity Medical  Screw System</Name><Description>Non locking screws</Description><Size>greater than or equal to 4.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM142</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ517</BillingCode><PriorBillingCodes><PriorBillingCode>ER504</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER504
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ800</BillingCode><Name>Pangea – T20 5.0mm Screws </Name><Description>Locking Screw </Description><Size>Diameter 5mm, Length 10-95mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>451965</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ399</BillingCode><PriorBillingCodes><PriorBillingCode>LM505</PriorBillingCode></PriorBillingCodes><Name>Non-Locking Screw (Standard)</Name><Description>Non-Locking Screw (Standard)</Description><Size> ≥4.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM505
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ572</BillingCode><Name>BioFix Non Locking Screw</Name><Description>Non Locking Bone Screw</Description><Size>Diam greater than 4.5mm length 20 to 110mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>446431</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ255</BillingCode><Name>Colink 4.5 Non-locking Screws</Name><Description>Non-Locking Titanium Alloy Screws 4.5 mm</Description><Size>20mm - 95 mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>148960</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ516</BillingCode><PriorBillingCodes><PriorBillingCode>ER510</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER510
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit, Organisation
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM550</BillingCode><Name>Skeletal Dynamics Bone Screw Locking  </Name><Description>Bone Screw Locking  </Description><Size>4.5mm diameter, 16 to 34mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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
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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV021</BillingCode><Name>VariAx Plating System - Screws</Name><Description>Titanium Locking Screws</Description><Size>3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>149535</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM553</BillingCode><Name>Skeletal Dynamics Bone Screw Locking  </Name><Description>Bone Screw Locking  </Description><Size>3.5mm diameter, 16 to 44mm length</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ076</BillingCode><PriorBillingCodes><PriorBillingCode>AE155</PriorBillingCode><PriorBillingCode>AE155</PriorBillingCode></PriorBillingCodes><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>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>137369</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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
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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF124</BillingCode><Name>Islay non-LOCKING SCREW</Name><Description>2.7mm non locking screw
GENII 2.7mm non-locking screw
3.5mm non-locking screw
GENII 3.5mm non-locking screw</Description><Size>8-30mm (FPS 2.7mm non locking)
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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>148960</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>148960</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI947</BillingCode><Name>Screws -Locking</Name><Description>Locking Screw</Description><Size>10 - 70mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ040</BillingCode><PriorBillingCodes><PriorBillingCode>LM351</PriorBillingCode><PriorBillingCode>LM351</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic locking Screws</Name><Description>Orthopaedic locking Screws</Description><Size>2.71 to 4.49 mm diameter, all lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>168890</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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
3.5mm Cortical, Locking, Self tapping 8 -20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>167057</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ033</BillingCode><PriorBillingCodes><PriorBillingCode>LM290</PriorBillingCode><PriorBillingCode>LM290</PriorBillingCode></PriorBillingCodes><Name>NEOFIT - Screws</Name><Description>NEOFIT screws</Description><Size>2.7 &amp; 3.0mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>LK</Suffix><ARTGs><ARTG>141171</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ210</BillingCode><Name>ARIX 2.0-3.5mm Locking screws </Name><Description>Locking screws</Description><Size>2.0-3.5mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ231</BillingCode><Name>Colink 3.5 Variable Angle Locking Screws</Name><Description>Variable Angle Locking Titanium Type II Anodised Screws 3.5 mm</Description><Size>3.5 mm Diam x Length (10 - 60 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ229</BillingCode><Name>Colink 3.5 Low-Pro Locking Screws</Name><Description>Low-profile Locking Titanium Type II Anodised Screws 3.5 mm</Description><Size>3.5 mm Diam x Length (10 - 60 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ241</BillingCode><Name>Low Profile Locking Screw</Name><Description>Low Profile Locking Screw </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>350999</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>455</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>455</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN069</BillingCode><Name>Xpert Wrist 2.4 - 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><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ181</BillingCode><Name>Skeletal Dynamics Bone Screw</Name><Description>Polyaxial locking cannulated screw</Description><Size>3.0mm x 20-40mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ192</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headless Cannulated Screws</Description><Size>3.0MM, 3.5MM, 4.0MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ409</BillingCode><PriorBillingCodes><PriorBillingCode>LM521</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>Locking Screws</Description><Size>2.8mm &amp; 3.5mm diameter; 8-70 length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM521
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ515</BillingCode><PriorBillingCodes><PriorBillingCode>ER425</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Screws, small</Name><Description>Paragon 28 Gorilla Plating System-Screws, small, locking; compact, recon/Tuffneck</Description><Size>dia (3.5-4.2 mm) x length (8-100 mm)</Size><SupplierCode>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER425
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ393</BillingCode><PriorBillingCodes><PriorBillingCode>LM359</PriorBillingCode></PriorBillingCodes><Name>Hex Locking Screws</Name><Description>Hex plate fixation locking screws</Description><Size>2.71 to 4.49mm diameter</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>178232</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM359
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ366</BillingCode><PriorBillingCodes><PriorBillingCode>LM280</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Post Cap Screw</Name><Description>Post Cap Screw</Description><Size>2.7 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM280
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ394</BillingCode><PriorBillingCodes><PriorBillingCode>LM358</PriorBillingCode></PriorBillingCodes><Name>Hex Screw</Name><Description>Hex plate fixation screw</Description><Size>2.71 to 4.49mm diameter</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>178232</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM358
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ772</BillingCode><PriorBillingCodes><PriorBillingCode>DD055</PriorBillingCode></PriorBillingCodes><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>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>212470</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from DD055
Sponsor transferred from DJO GLOBAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ600</BillingCode><Name>Titanium Ankle Fracture System 3.5mm cortical screw</Name><Description>Low profile screw, Cortical</Description><Size>3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>284416</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ202</BillingCode><Name>IBS - B Neutralization Screws</Name><Description>Titanium Headless Neutralisation Screws</Description><Size>3.3, 4.0 mm Neutralisation Screws, 16 - 60 mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>348714</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ295</BillingCode><Name>Cannulated Low Profile Screws, Small</Name><Description>Cannulated Low Profile Screws, Small</Description><Size>4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ191</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headed Cannulated Screws</Description><Size>3.0MM, 3.5MM, 4.0MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN025</BillingCode><Name>Newclip Cannulated Screws</Name><Description>Cannulated Screws</Description><Size>3.0 - 4.0mm diameter, lengths 14 - 75mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>260233</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>324190</ARTG><ARTG>324189</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>153087</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>119660</ARTG><ARTG>155633</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>155633</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ018</BillingCode><PriorBillingCodes><PriorBillingCode>LM286</PriorBillingCode><PriorBillingCode>LM286</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Bone Screw</Description><Size>2.71 to 4.49mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO004</BillingCode><PriorBillingCodes><PriorBillingCode>LM399</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screws</Name><Description>Cannulated Screws</Description><Size>2.71mm – 4.49mm diameter</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN971</BillingCode><Name>Cannulated Screw</Name><Description>Stainless Steel</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>324190</ARTG><ARTG>324189</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN016</BillingCode><Name>Newclip Cannulated Self-Compressive Screws and Chamfered Cannulated, Self Drilling, Self-Compressive</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><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW452</BillingCode><Name>Fixos Forefoot &amp; Midfoot Screw System</Name><Description>Cannulated Compression Screws</Description><Size>Diameter: 3.0-4.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>269713</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>291613</ARTG><ARTG>198485</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH190</BillingCode><Name>Headless Compression Screws</Name><Description>Headless Compression Screws</Description><Size>3mm-4mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>210290</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK256</BillingCode><Name>TwinFix Cannulated Compression Screw System</Name><Description>The Stryker TwinFix Cannulated Compression Screw System is intended to be used for fractures or arthrodesis.</Description><Size>Diameter 3.2mm, lengths 14-34mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>124318</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>148960</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>149535</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>198485</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ068</BillingCode><Name>Titan Headless Cannulated Screws</Name><Description>Headless Cannulated Compression Screws</Description><Size>3-4mm x 10-60mm</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><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>284755</ARTG><ARTG>276915</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ411</BillingCode><PriorBillingCodes><PriorBillingCode>LM523</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>Cannulated Screws</Description><Size>3.5mm diameter; 20-70mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM523
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><ARTGs><ARTG>206157</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ583</BillingCode><Name>Extremity Medical  Screw System</Name><Description> Small non locking crews</Description><Size>3.0-4.0mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM143</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ330</BillingCode><Name>ARIX 2.0-3.5mm Locking screws </Name><Description>Locking screws</Description><Size>2.0-3.5mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ397</BillingCode><PriorBillingCodes><PriorBillingCode>LM504</PriorBillingCode></PriorBillingCodes><Name>Locking Screws (Small)</Name><Description>Locking Screws (Small)</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM504
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ338</BillingCode><PriorBillingCodes><PriorBillingCode>LM326</PriorBillingCode></PriorBillingCodes><Name>Extremilock Screws</Name><Description>Screws</Description><Size>2.7mm - 4.49mm x 8-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>149435</ARTG><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM326
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ400</BillingCode><PriorBillingCodes><PriorBillingCode>LM503</PriorBillingCode></PriorBillingCodes><Name>Non-Locking Screws (Small)</Name><Description>Non-Locking Screws (Small)</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM503
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ675</BillingCode><Name>Agomed Headless Screws</Name><Description>Standard cannulated dual thread titanium screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ614</BillingCode><Name>Congruent-Arc Latarjet - 3.75 Cannulated Screws</Name><Description>Cannulated Low Profile Screws, Small</Description><Size>3.75mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ408</BillingCode><PriorBillingCodes><PriorBillingCode>LM520</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>Non-Locking Screws</Description><Size>2.8-3.5mm x 8-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM520
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ584</BillingCode><Name>Extremity Medical Screw System</Name><Description>Non locking Screws</Description><Size>3.0-4.0mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM143</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ363</BillingCode><PriorBillingCodes><PriorBillingCode>LM278</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Locking Cortical Screw</Name><Description>Locking Cortical Screw</Description><Size>3.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM278
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ834</BillingCode><Name>SternaLock XP Rigid Fixation System</Name><Description>Screws</Description><Size>3.0mm x 10-14mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>456147</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ615</BillingCode><Name>Titanium Ankle and Fracture System – Screws</Name><Description>Low Profile Locking Screw </Description><Size>3mm </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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ471</BillingCode><PriorBillingCodes><PriorBillingCode>ER395</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER395
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ412</BillingCode><PriorBillingCodes><PriorBillingCode>LM535</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Fully Threaded Syndesmosis Screws</Description><Size>4.0 x 40-60mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM535
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ682</BillingCode><Name>IBS - B Compression Screws</Name><Description>Titanium Headless Compression Screws</Description><Size>3.3, 4.0 mm Compression Screws, 16 - 60 mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>348714</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ670</BillingCode><Name>Agomed Headed Screw</Name><Description>Standard cannulated titanium screws</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM146</BillingCode><Name>TriMed Bone Screws</Name><Description>Non-Locking cortical bone screw and lag screws for Wrist, Ankle, Ulnar Osteotomy plating systems</Description><Size>3.2mm; Length 08-40mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ020</BillingCode><PriorBillingCodes><PriorBillingCode>LM340</PriorBillingCode><PriorBillingCode>LM340</PriorBillingCode></PriorBillingCodes><Name>Bone Screws</Name><Description>Plate Fixation Bone Screws</Description><Size>2.71 to 4.49mm diameter  All lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK452</BillingCode><Name>Stryker Plating System</Name><Description>Non-Locking Bone Screws (Small)</Description><Size>2.7mm - 4.5mm Diameter 8mm - 150mm Length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>352530</ARTG><ARTG>340042</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN944</BillingCode><Name>Peri-Loc</Name><Description>Locking Screws</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ131</BillingCode><PriorBillingCodes><PriorBillingCode>LM380</PriorBillingCode><PriorBillingCode>LM380</PriorBillingCode></PriorBillingCodes><Name>Screw and Locking Cap</Name><Description>Screw and Locking Cap</Description><Size>2.71 to 4.49 mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT098</BillingCode><Name>Nexos Screw</Name><Description>3.5mm Screws</Description><Size>3.5mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>276650</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>124318</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ478</BillingCode><PriorBillingCodes><PriorBillingCode>ER381</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER381
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>148960</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ585</BillingCode><Name>Extremity Medical Screw system</Name><Description>Cannulated Screws </Description><Size>3.0-4.3mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Expanded from LM143</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV022</BillingCode><Name>VariAx Plating System - Screws</Name><Description>Titanium Non-Locking Screws</Description><Size>3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>352530</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ021</BillingCode><PriorBillingCodes><PriorBillingCode>LM341</PriorBillingCode><PriorBillingCode>LM341</PriorBillingCode></PriorBillingCodes><Name>Bone Screws - Locking</Name><Description>Locking</Description><Size>2.71mm - 4.49mm diameter
All lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ237</BillingCode><Name>Low Profile Screw, Cortical</Name><Description>Low Profile Screw, Cortical</Description><Size>3-3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ230</BillingCode><Name>Colink 3.5 Low-Pro Non-Locking Screws</Name><Description>Low-profile Non-Locking Titanium Type II Anodised Screws 3.5 mm</Description><Size>3.5 mm Diam x Length (10 - 60 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ232</BillingCode><Name>Colink 4.0 Cancellous Screws</Name><Description>Cancellous Titanium Type II Anodised Screws 4.0 mm</Description><Size>4.0 mm Diam x Length (10 - 60 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ292</BillingCode><Name>Cortical Bone Screw</Name><Description>Stainless steel bone screw</Description><Size>Diameter 3.5mm, Length 10mm to 90mm</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>433151</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ172</BillingCode><Name>Non-Locking Screw</Name><Description>Non Locking Screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>429400</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ193</BillingCode><Name>ARIX 3.5mm Non-Locking screws </Name><Description>3.5mm Non-Locking screws</Description><Size>3.5mm </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ293</BillingCode><Name>Variable Angle Locking Screw</Name><Description>Stainless steel screw</Description><Size>Diameter 3.5mm, Length 10mm to 90mm</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>433151</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ413</BillingCode><PriorBillingCodes><PriorBillingCode>LM536</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Cannulated Screws</Description><Size>4.0 x 20-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM536
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ472</BillingCode><PriorBillingCodes><PriorBillingCode>ER396</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER396
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ038</BillingCode><PriorBillingCodes><PriorBillingCode>LM349</PriorBillingCode><PriorBillingCode>LM349</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Screw</Name><Description>Fixation Screw</Description><Size>2.71 to 4.49mm diameter all lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ470</BillingCode><PriorBillingCodes><PriorBillingCode>ER394</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER394
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ341</BillingCode><PriorBillingCodes><PriorBillingCode>LM315</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screws</Name><Description>Compression Screws</Description><Size>3.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>279795</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM315
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ027</BillingCode><PriorBillingCodes><PriorBillingCode>LM285</PriorBillingCode><PriorBillingCode>LM285</PriorBillingCode></PriorBillingCodes><Name>IBS Screw</Name><Description>Compression Screw</Description><Size>3.00 &amp; 3.5mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ175</BillingCode><Name>VAL Locking Screw</Name><Description>VAL Locking Screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ278</BillingCode><Name>Colink 3.0mm Locking Screws</Name><Description>Locking Screws 3.0mm Titanium Type II Anodised </Description><Size>8 - 30 mm </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO009</BillingCode><PriorBillingCodes><PriorBillingCode>LM394</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screw</Name><Description>Headless Compression Screw</Description><Size>2.71mm – 4.49mm diameter</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ104</BillingCode><PriorBillingCodes><PriorBillingCode>EF006</PriorBillingCode></PriorBillingCodes><Name>Merete - MetaFix LS - Locking Screws</Name><Description>Bone screws, Titanium, Locking</Description><Size>2.71mm - 4.49mm diameter, lengths 12 - 48mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>212520</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ095</BillingCode><Name>Small Fragment Screws</Name><Description>Locking Screws</Description><Size>3.5mm diameter,   10mm-90mm length </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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>260234</ARTG><ARTG>260233</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI892</BillingCode><Name>NCB System</Name><Description>NCB Screws</Description><Size>4mm x 14-90mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ099</BillingCode><Name>Austofix Small Fragment System</Name><Description>Cortex/Cancellous Screws</Description><Size>3.5mm width, 12-50mm length 4.0mm width, 12-60mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF120</BillingCode><Name>Islay Locking screw</Name><Description>FPS 3.5mm locking screw
FPS GENII 3.5mm locking screw
FPS 2.7mm locking screw
FPS GENII 2.7mm locking screw</Description><Size>10-50MM(FPS 3.5MM locking) 
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><ARTG>297881</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX054</BillingCode><Name>MBOSS-3.5 mm Meril Cancellous Screw system - Cancellous Screw, Self Tapping </Name><Description>Cancellous Screw</Description><Size>Length- 30- 90  </Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>286843</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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
2.7mm Lag, Non Locking, self tapping 10 -30mm
3.5mm Cortical, Non Locking,Self tapping 8 -20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>167057</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>94876</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ799</BillingCode><Name>Pangea – T20 4.0mm Screws </Name><Description>Locking Screw </Description><Size>Diameter 4mm, Length 14-95mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>451965</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ801</BillingCode><Name>Pangea – T15 3.5mm Locking Screws</Name><Description>Locking Screw</Description><Size>Diameter 3.5mm, Length 10-120mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>451965</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ346</BillingCode><PriorBillingCodes><PriorBillingCode>LM252</PriorBillingCode></PriorBillingCodes><Name>OsteoMed FPS</Name><Description>Bone screws</Description><Size>3.5/4mm x 10-70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM252
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>210296</ARTG><ARTG>209305</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ361</BillingCode><PriorBillingCodes><PriorBillingCode>LM279</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Cortical Screw</Name><Description>Cortical Screw</Description><Size>3.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>182168</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM279
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI940</BillingCode><Name>Screws - Standard</Name><Description>Standard Screws</Description><Size>10 - 70mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ643</BillingCode><Name>Skeletal Dynamics Bone Screw</Name><Description>Non locking bone screw</Description><Size>3.0 - 3.5mm x 6 - 70mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><ChangeExplanation>Compressed from LM317, LM549</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>119660</ARTG><ARTG>269713</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>153087</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH675</BillingCode><Name>MUTARS Cancellous Screws</Name><Description>MUTARS Cancellous Screws</Description><Size>10-40mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>237075</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ279</BillingCode><Name>Colink 3.0mm Low-Pro Cortical Screws</Name><Description>Low-profile 3.0mm Cortical Screws Titanium Type II Anodised </Description><Size>8 - 30 mm </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ075</BillingCode><PriorBillingCodes><PriorBillingCode>AE154</PriorBillingCode><PriorBillingCode>AE154</PriorBillingCode></PriorBillingCodes><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)
4.0mm Low-profile Cortex Screws, 10-30mm (2mm increments)</Size><SupplierCode>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>137369</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN022</BillingCode><Name>Alians system - 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><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB021</BillingCode><Name>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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO005</BillingCode><PriorBillingCodes><PriorBillingCode>LM392</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screws</Name><Description>Cannulated Screws</Description><Size>2.01 mm – 2.70 mm diameter</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>155633</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>291613</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ019</BillingCode><PriorBillingCodes><PriorBillingCode>LM284</PriorBillingCode><PriorBillingCode>LM284</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Bone Screw</Description><Size>2.01-2.7mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ190</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headless Cannulated Screws</Description><Size>2.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB042</BillingCode><Name>Compression Screws</Name><Description>Headless Compression Screws</Description><Size>less than 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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>210296</ARTG><ARTG>209305</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ028</BillingCode><PriorBillingCodes><PriorBillingCode>LM283</PriorBillingCode><PriorBillingCode>LM283</PriorBillingCode></PriorBillingCodes><Name>IBS Screw</Name><Description>Compression Screw</Description><Size>2.5mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>149535</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO010</BillingCode><PriorBillingCodes><PriorBillingCode>LM396</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screw</Name><Description>Headless Compression Screw</Description><Size>2.01 – 2.7 mm</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ039</BillingCode><PriorBillingCodes><PriorBillingCode>LM348</PriorBillingCode><PriorBillingCode>LM348</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Screw</Name><Description>Fixation Screw</Description><Size>2.01 to 2.7mm all lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>291613</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN970</BillingCode><Name>Cannulated Screw</Name><Description>Stainless Steel</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ189</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headed Cannulated Screws</Description><Size>2.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ186</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Snap Off Screws</Description><Size>2.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ045</BillingCode><PriorBillingCodes><PriorBillingCode>LM352</PriorBillingCode></PriorBillingCodes><Name>Snap Off Screws</Name><Description>Snap Off Screws</Description><Size>2.01 to 2.7mm diameter</Size><SupplierCode>LV</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>2024-11-01</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>2024-11-01</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 2.7mm, 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><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU344</BillingCode><Name>Snap-Off Compression FT Pins 2.4mm</Name><Description>Snap-Off Compression pins for fusion and fracture fixation</Description><Size>2.4mm Diameters</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF117</BillingCode><Name>Speyside TWIST-OFF SCREW</Name><Description>11 mm TWIST-OFF SCREW2.5MM Cancellous thread
12 mm TWIST-OFF SCREW2.5MM Cancellous thread
13 mm TWIST-OFF SCREW2.5MM Cancellous thread
14 mm TWIST-OFF SCREW2.5MM Cancellous thread
15 mm TWIST-OFF SCREW2.5MM Cancellous thread
17 mm TWIST-OFF SCREW2.5MM Cancellous thread
TWIST-OFF SCREWS10mm (1.5mm Shank)
TWIST-OFF SCREWS11mm (1.5mm Shank)
TWIST-OFF SCREWS12mm (1.5mm Shank)
TWIST-OFF SCREWS13mm (1.5mm Shank)
TWIST-OFF SCREWS14mm (1.5mm Shank)
TWIST-OFF SCREWS15mm (1.5mm Shank)
TWIST-OFF SCREWS16mm (1.5mm Shank)
TWIST-OFF SCREWS17mm (1.5mm Shank)
TWIST-OFF SCREWS18mm (1.5mm Shank)
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>2024-11-01</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><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>ZA</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>2024-11-01</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>177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ514</BillingCode><PriorBillingCodes><PriorBillingCode>ER426</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER426
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ797</BillingCode><Name>Pangea – T8 2.7mm Screws</Name><Description>Cortex Screw</Description><Size>Diameter 2.7mm, Length 6-80mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>451965</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>LK</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ468</BillingCode><PriorBillingCodes><PriorBillingCode>ER397</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER397
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ672</BillingCode><Name>Agomed Headed Screws</Name><Description>Standard Cannulated Titanium Screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ596</BillingCode><Name>Charlotte Foot &amp; Ankle System</Name><Description>Snap-off screws, titanium alloy</Description><Size>2.7 diameter, 11-17mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>326629</ARTG><ARTG>198485</ARTG></ARTGs><ChangeExplanation>Expanded from HW698</ChangeExplanation><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ340</BillingCode><PriorBillingCodes><PriorBillingCode>LM314</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screws</Name><Description>Compression Screws</Description><Size>2.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>279795</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM314
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ836</BillingCode><Name>SternaLock XP Rigid Fixation System</Name><Description>Screws</Description><Size>2.7mm x 10-14mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>456147</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ469</BillingCode><PriorBillingCodes><PriorBillingCode>ER399</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER399
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>LK</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ228</BillingCode><Name>Colink 2.7 Variable Angle Locking Screws</Name><Description>Variable Angle Locking Titanium Type II Anodised Screws 2.7 mm</Description><Size>2.7 mm Diam x Length (8 - 60 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ358</BillingCode><PriorBillingCodes><PriorBillingCode>LM324</PriorBillingCode></PriorBillingCodes><Name>Osteomed Screws</Name><Description>Bone Screws</Description><Size>2- 2.7m x 6-38mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM324
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ524</BillingCode><PriorBillingCodes><PriorBillingCode>ER400</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER400
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ360</BillingCode><PriorBillingCodes><PriorBillingCode>LM327</PriorBillingCode></PriorBillingCodes><Name>Osteomed Screws</Name><Description>Cannulated Compression Screws</Description><Size>Diameter 2.0mm, 2.4mm and 2.7mm. Length 6mm to 52mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM327
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ467</BillingCode><PriorBillingCodes><PriorBillingCode>ER398</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER398
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>252452</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM144</BillingCode><Name>TriMed Bone Screw</Name><Description>Non-Locking Cortical Bone Screws</Description><Size>2.3mm - 2.7mm x 7mm - 32mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>260234</ARTG><ARTG>260233</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ077</BillingCode><PriorBillingCodes><PriorBillingCode>AE149</PriorBillingCode><PriorBillingCode>AE149</PriorBillingCode></PriorBillingCodes><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>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>134456</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB033</BillingCode><Name>Mini Locking System - Cortex Screw</Name><Description>Non locking screw</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</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>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN082</BillingCode><Name>TC 100 </Name><Description>Cortical Screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ096</BillingCode><Name>Mini Fragment Screws</Name><Description>Cortex/Cancellous Screws</Description><Size>2.4mm diameter,   6mm-60mm length </Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU147</BillingCode><Name>Mini Fragment System – Cortical Screws</Name><Description>Cortical Screw</Description><Size>2.4mm x (06-80mm)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>284416</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU347</BillingCode><Name>Mini Fragment System - 2.7mm Cortical Screws</Name><Description>Cortical Screws for Plate Fixation of Fracture</Description><Size>2.7mm x 6.0mm-15mm (1mm) Increments      2.7mm x 16mm-50mm (2mm) Increments      2.7mm x 55-80mm (5mm) Increments</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ359</BillingCode><PriorBillingCodes><PriorBillingCode>LM325</PriorBillingCode></PriorBillingCodes><Name>Osteomed Screws</Name><Description>Bone Screw standard and threaded/lag.</Description><Size>2.01-2.7mm x 4-50mm.</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM325
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ668</BillingCode><Name>ARIX 2.0-2.8mm Non-locking</Name><Description>Non-locking screws </Description><Size>2.0-2.8mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</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>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ041</BillingCode><PriorBillingCodes><PriorBillingCode>LM344</PriorBillingCode><PriorBillingCode>LM344</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Plate Fixation Screw</Name><Description>Orthopaedic Plate Fixation Screw</Description><Size>2.01 to 2.7mm diameter
All lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ034</BillingCode><PriorBillingCodes><PriorBillingCode>LM354</PriorBillingCode></PriorBillingCodes><Name>Non-Locking Screws</Name><Description>Non-Locking Screws</Description><Size>2.7mm diameter, multiple lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ284</BillingCode><Name>Variable Angle Locking Screw Diameter 2.5mm</Name><Description>Variable Angle Locking Screw</Description><Size>10mm to 30mm</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>433151</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM552</BillingCode><Name>Skeletal Dynamics Bone Screw Non-Locking  </Name><Description>Non-Locking Cortical Bone Screws  </Description><Size>2.7mm diameter, 10 to 70mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ180</BillingCode><Name>Skeletal Dynamics Bone Screw</Name><Description>Polyaxial locking cannulated screw</Description><Size>2.5mm x 10-30mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ798</BillingCode><Name>Pangea – T8 2.7mm Locking Screws</Name><Description>Locking Screw</Description><Size>Diameter 2.7mm, Length 8-80mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>451965</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ673</BillingCode><Name>Agomed Headless Screws</Name><Description>Standard cannulated, dual thread titanium screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM319</BillingCode><Name>Screws</Name><Description>Non Locking</Description><Size>2.01 - 2.7mm diameter
all lengths</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ283</BillingCode><Name>Cortical Screw Diameter 2.5mm</Name><Description>Cortical Screw</Description><Size>10mm to 30mm</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>433151</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ251</BillingCode><Name>Colink 2.4 mm Low-Pro Non-Locking Screws</Name><Description>Low-profile Non-Locking Titanium Type II Anodised Screws 2.4 mm</Description><Size>2.4 mm Diam x Length (8mm - 24 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ204</BillingCode><Name>5MS 2.4 / 2.7 mm Non-Locking Screws</Name><Description>2.4 / 2.7 mm Cortical Bone Screws Non-Locking Titanium Type II Anodised </Description><Size>2.4 / 2.7 mm Diam x Length (8mm - 30 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK103</BillingCode><Name>Stryker Plating System</Name><Description>Non-Locking Screws </Description><Size>2.01-2.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>340043</ARTG><ARTG>357433</ARTG><ARTG>258002</ARTG><ARTG>119660</ARTG><ARTG>269713</ARTG><ARTG>352531</ARTG><ARTG>340044</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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

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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ227</BillingCode><Name>Colink 2.7 Low-Pro Non-Locking Screws</Name><Description>Low-profile Non-Locking Titanium Type II Anodised Screws 2.7 mm</Description><Size>2.7 mm Diam x Length (8 - 50 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><ARTGs><ARTG>337240</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ043</BillingCode><Name>Austofix Mini Fragment - Locking screws</Name><Description>Locking Screws</Description><Size>2.4mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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); lengths 5 - 70mm.</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</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>2024-11-01</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>2.5mm Cannulated Compression Screw</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>119660</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Change to Group benefit, Size</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU348</BillingCode><Name>Mini Fragment System - VAL Screws</Name><Description>Variable Angle Locking Screws for Plate Fixation of Fracture</Description><Size>2.7mm x 6.0mm-15mm (1mm) Increments      2.7mm x 16mm-50mm (2mm) Increments      2.7mm x 55mm-80mm (5mm) Increments</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT104</BillingCode><Name>L1® Rib Screws</Name><Description>Rib Osteosynthesis Screws</Description><Size>2.3mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276650</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM551</BillingCode><Name>Skeletal Dynamics Bone Screw Locking  </Name><Description>Bone Screw Locking  </Description><Size>2.7mm diameter, 10 to 70mm length</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>258002</ARTG><ARTG>340044</ARTG><ARTG>352530</ARTG><ARTG>357433</ARTG><ARTG>352531</ARTG><ARTG>119660</ARTG><ARTG>340043</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ128</BillingCode><PriorBillingCodes><PriorBillingCode>LM353</PriorBillingCode></PriorBillingCodes><Name>Locking Screws</Name><Description>Locking Screws</Description><Size>2.7mm diameter, multiple lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ042</BillingCode><PriorBillingCodes><PriorBillingCode>LM345</PriorBillingCode><PriorBillingCode>LM345</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Plate Fixation Screw</Name><Description>Orthopaedic Plate Fixation Screw</Description><Size>2.01 to 2.7 mm diameter
all lengths</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV008</BillingCode><Name>SternalPlate Closure System - Screws   </Name><Description>Titanium Sternal Fixation System</Description><Size>2.3mm  2.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU355</BillingCode><Name>Mini Fragment System - 2.4mm VAL Screws</Name><Description>2.4mm Variable Angle Locking Screws for Bone Fixation</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>284416</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ250</BillingCode><Name>Colink 2.4 mm Locking Screws</Name><Description>Low-profile Locking Titanium Type II Anodised Screws 2.4 mm</Description><Size>2.4 mm Diam x Length (8mm - 24 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ203</BillingCode><Name>5MS 2.4 / 2.7 mm Locking Screws</Name><Description>2.4 / 2.7 mm Cortical Bone Screws Locking Titanium Type II Anodised </Description><Size>2.4 / 2.7 mm Diam x Length (8mm - 30mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ226</BillingCode><Name>Colink 2.7 Low-Pro Locking Screws</Name><Description>Low-profile Locking Titanium Type II Anodised Screws 2.7 mm</Description><Size>2.7 mm Diam x Length (8 - 50 mm)</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>2024-11-01</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>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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

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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>LK</Suffix><ARTGs><ARTG>141171</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN968</BillingCode><Name>Peri-Loc</Name><Description>Locking screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI201</BillingCode><Name>Zimmer Cortical Screws</Name><Description>Cortical Screws</Description><Size>6 - 50mm</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ833</BillingCode><Name>SternaLock XP Rigid Fixation System</Name><Description>Sternal Closure System
</Description><Size>Double Cable Plate including Sharp, Box Plate, Auxiliary Plate, Tower Plate</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5994</SubGroupID><ARTGs><ARTG>456147</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>982</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ696</BillingCode><Name>Trochanteric Reattachment Device</Name><Description>Titanium alloy reattachment device with cables</Description><Size>Small</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5994</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>Expanded from SY378</ChangeExplanation><MinimumBenefit>982</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>2024-11-01</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>ZA</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ835</BillingCode><Name>SternaLock XP Rigid Fixation System</Name><Description>Sternal Closure System
</Description><Size>X Plate, Cable Plate</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5996</SubGroupID><ARTGs><ARTG>456147</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1048</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ697</BillingCode><Name>Trochanteric Reattachment Device</Name><Description>Titanium alloy reattachment device with cables</Description><Size>Large</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5996</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>Expanded from SY378</ChangeExplanation><MinimumBenefit>1048</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>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>2024-11-01</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>JV</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>2024-11-01</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><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU199</BillingCode><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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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></ARTGs><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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
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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ149</BillingCode><Name>PediLoc Plating System</Name><Description>PediFrag Clavicle Plates</Description><Size>2.7-3.5mm
6 Holes
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>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ150</BillingCode><Name>PediLoc Plating System</Name><Description>PediFrag Clavicle Plates</Description><Size>2.7-3.5mm
7-8 Holes
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>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>269713</ARTG><ARTG>295226</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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
22mm in width
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>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ075</BillingCode><Name>PediPlates Plating System</Name><Description>I-Plate
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>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ426</BillingCode><PriorBillingCodes><PriorBillingCode>LM541</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Fibula Plates</Description><Size>5 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM541
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ535</BillingCode><Name>Pangea Utility Plating System </Name><Description>5.0 Utility Plates</Description><Size>Less than or equal to 6 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ664</BillingCode><Name>Periactive S Femoral Periprosthetic Femoral Plates</Name><Description>
Periprosthetic proximal femur hook plates</Description><Size>Size 1 and Size 2</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ512</BillingCode><PriorBillingCodes><PriorBillingCode>ER610</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER610
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL243</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Large Fragment Plate –  Non Locking </Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST039</BillingCode><Name>Stryker Plating System</Name><Description>L-Plates</Description><Size>4-6hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>25735</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN071</BillingCode><Name>TC 100</Name><Description>4.5mm Straight Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ511</BillingCode><PriorBillingCodes><PriorBillingCode>ER670</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, tibial (≤ 6 holes),  anterior, TT  </Name><Description>Silverback anterior mini-open plate, TT, contoured or flat, left or right, Ti, complex, variable angle locking</Description><Size>65-109 mm</Size><SupplierCode>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER670
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ376</BillingCode><PriorBillingCodes><PriorBillingCode>LM367</PriorBillingCode></PriorBillingCodes><Name>Calcaneal Osteotomy Device</Name><Description>Calcaneal Osteotomy Device</Description><Size>All sizes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM367
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ686</BillingCode><Name>ActivMotion S</Name><Description>Distal femoral anatomic VAL osteotomy plates</Description><Size>7-15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN360</BillingCode><Name>VA-LCP Periprosthetic Proximal Femur Plating System</Name><Description>VAL compression plate, proximal femur hook plates, stainless steel</Description><Size>≥7 to ≤15 holes, left &amp; right profile</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK633</BillingCode><Name>VariAx Wrist plates</Name><Description>Wrist plates</Description><Size>7-15 holes</Size><SupplierCode>JV</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>2024-11-01</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>JV</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>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU176</BillingCode><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>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL244</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Large Fragment Plate –  Non Locking </Description><Size>7-15 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH065</BillingCode><Name>Sternalock</Name><Description>Straight plate, locking, </Description><Size>8 hole</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ427</BillingCode><PriorBillingCodes><PriorBillingCode>LM542</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Fibula Plates</Description><Size>9 - 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM542
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG><ARTG>295226</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ507</BillingCode><PriorBillingCodes><PriorBillingCode>ER609</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER609
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
4.5mm contour locking compression femur 8, 10, 12, 14 hole plates left and right</Description><Size>4.5mm bowed 10, 12, 14 hole
4.5mm contour 8,10,12,14 hole right
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>707</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>707</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER671</BillingCode><Name>Paragon Silverback Straddle Plate-anterior TT</Name><Description>Silverback Anterior Straddle Plate, TT, Contoured or flat, standard or long, left or right        </Description><Size>various sizes</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER676</BillingCode><Name>Gorilla Silverback Spanning Plates-Anterior/Lateral</Name><Description>Silverback Spanning Plates-Anterior/Lateral, flat, standard or long, left or right</Description><Size>69-109 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER674</BillingCode><Name>Paragon Silverback Straddle Plate-posterior TTC</Name><Description>Silverback Straddle Plate-posterior TTC, flat or contoured, left or right, Ti</Description><Size>Various lengths</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER677</BillingCode><Name>Gorilla Silverback Spanning Plates-Posterior</Name><Description>Silverback Spanning Plates-posterior, flat, standard or long, left or right</Description><Size>various lengths</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ557</BillingCode><Name>BioFix locking osteotomy plate</Name><Description>Anatomic variable angle locking tibial plates</Description><Size>7 to 15 holes</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>446430</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ509</BillingCode><PriorBillingCodes><PriorBillingCode>ER541</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER541
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ374</BillingCode><PriorBillingCodes><PriorBillingCode>LM524</PriorBillingCode></PriorBillingCodes><Name>Ankle Fusion Plate</Name><Description>Ankle Fusion Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM524
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ538</BillingCode><Name>Pangea Utility Plating System </Name><Description>5.0 Utility Plates</Description><Size>7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ508</BillingCode><PriorBillingCodes><PriorBillingCode>ER611</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER611
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER673</BillingCode><Name>Paragon Silverback Straddle Plate-lateral TTC</Name><Description>Paragon Silverback Straddle Plate-lateral TTC, long, left or right.</Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER672</BillingCode><Name>Paragon Silverback Straddle Plate-lateral TC</Name><Description>Silverback Straddle Plate-lateral TC, long, left or right        </Description><Size>one size</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN359</BillingCode><Name>VA-LCP Periprosthetic Proximal Femur Plating System</Name><Description>VAL compression plate, proximal femur hook plates, stainless steel</Description><Size>≥16 holes, left &amp; right profile</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN356</BillingCode><Name>VA-LCP Periprosthetic Proximal Femur Plating System</Name><Description>VAL compression plate, proximal femur plates, stainless steel</Description><Size>≥16 holes, left &amp; right profile</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY637</BillingCode><Name>AO/ASIF Plates</Name><Description>LC-LCP Plates</Description><Size>≥ 16 Holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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
4.5mm Bowed locking compression femur 18 hole plate
4.5mm contour locking compression femur 16 hole plate right
4.5mm contour locking compression femur 18 hole plate right
4.5mm contour locking compression femur 20 hole plate right
4.5mm contour locking compression femur 16 hole plate left
4.5mm contour locking compression femur 18 hole plate left
4.5mm contour locking compression femur 20 hole plate left</Description><Size>4.5mm Bowed, 16 hole
4.5mm Bowed, 18 hole
4.5mm contour,16 hole, right
4.5mm contour,18 hole, right
4.5mm contour,20 hole, right
4.5mm contour,16 hole, left
4.5mm contour,18 hole, left
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>1041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ536</BillingCode><Name>Pangea Utility Plating System </Name><Description>5.0 Utility Plates</Description><Size>Greater than 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG><ARTG>237797</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN078</BillingCode><Name>TC-100</Name><Description>4.5mm Straight Plates</Description><Size>≥ 16 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</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>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ424</BillingCode><PriorBillingCodes><PriorBillingCode>LM539</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Simple Plates Straight, Y and L shaped plates</Description><Size>2 - 6 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM539
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>139635</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ635</BillingCode><Name>Forearm Fracture Fixation System – Plates</Name><Description>Locking Compression Plate</Description><Size>5-hole, 6-hole</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ350</BillingCode><PriorBillingCodes><PriorBillingCode>LM304</PriorBillingCode></PriorBillingCodes><Name>OsteoMed FPS</Name><Description>Titanium locking footplates</Description><Size>3.5mm and 4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM304
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY723</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Plates</Description><Size>less than or equal to 6 Holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG><ARTG>286609</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ404</BillingCode><PriorBillingCodes><PriorBillingCode>LM516</PriorBillingCode></PriorBillingCodes><Name>OMNI plating system</Name><Description>MTP, Lapidus, Straight, T Plates</Description><Size>≤ 6 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM516
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ678</BillingCode><Name>Colink Afx One Third Tubular Plates Small</Name><Description>One-third Tubular Plates</Description><Size>3, 4, 5, 6 Hole Plates</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ505</BillingCode><PriorBillingCodes><PriorBillingCode>ER480</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER480
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>295226</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>119848</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU320</BillingCode><Name>Wedged Profile Plate</Name><Description>Wedged Profile Plate</Description><Size>2 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ504</BillingCode><PriorBillingCodes><PriorBillingCode>ER479</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER479
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ510</BillingCode><PriorBillingCodes><PriorBillingCode>ER568</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER568
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ683</BillingCode><Name>Colink Cfx Calcaneal Z Plate</Name><Description>Titanium Calcaneal Plate.</Description><Size>less than 6 Hole.</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260681</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW069</BillingCode><Name>Equinox Trauma Systems </Name><Description>Clavicle Midhsaft Locking Plates </Description><Size>6 holes left, 6 holes right</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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
MT-PT1304104
MT-PT1305120
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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN800</BillingCode><Name>Peri-Loc</Name><Description>3.5mm Recon Plate </Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN979</BillingCode><Name>Peri-Loc</Name><Description>Fibula Plates</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU340</BillingCode><Name>Postero-Medial Distal Tibial 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>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ406</BillingCode><PriorBillingCodes><PriorBillingCode>LM518</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>X and Dog Bone Plates</Description><Size>≤ 6 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM518
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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 
≤  6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW979</BillingCode><Name>Locking Plate</Name><Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description><Size>Small (screw size 2.71mm – 4.49mm)  ≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV024</BillingCode><Name>VariAx 2 MIS Calcaneal Plating System</Name><Description>Variable Angle Locking Calcaneal Plating System</Description><Size>Small (5-6 Holes)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>357433</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>357433</ARTG><ARTG>340044</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW994</BillingCode><Name>Ortholoc Fracture System - Plates</Name><Description>Universal</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ198</BillingCode><Name>ARIX Wrist System - Carpal Fusion Plate</Name><Description>Carpal Fusion Plate</Description><Size>6 holes </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU186</BillingCode><Name>Titanium Plate with Wedge</Name><Description>Titanium Plate with Wedge. Left and right side specific.</Description><Size>6-10mm</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN357</BillingCode><Name>VA-LCP Periprosthetic Proximal Femur Plating System </Name><Description>VAL compression plate, locking attachment plate, stainless steel</Description><Size>≤6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN109</BillingCode><Name>TC100</Name><Description>3.5mm Reconstruction Plates</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>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ534</BillingCode><Name>Pangea Utility Plating System </Name><Description>3.5 Utility Plates</Description><Size>Less than or equal to 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ103</BillingCode><PriorBillingCodes><PriorBillingCode>EF001</PriorBillingCode></PriorBillingCodes><Name>Merete TTF Anterior Ankle Plate</Name><Description>Anterior Ankle Plates</Description><Size>≤ 6 holes Left and right</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>203737</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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)
Recon Plate, 8 Hole (RRP)
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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY703</BillingCode><Name>AO/ASIF Plates</Name><Description>Specialty Locking Plate</Description><Size>≤ 6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW068</BillingCode><Name>Equinox Trauma Systems</Name><Description>Clavicle Midshaft Locking Compression Plate </Description><Size>6 holes left, 6 holes right</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ138</BillingCode><Name>PediLoc Plating System</Name><Description>3.5mm Locking Plate,
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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU317</BillingCode><Name>H-Plates</Name><Description>Plate for Arthrodesis</Description><Size>Small, Medium, Large</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN914</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>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI930</BillingCode><Name>Sternalock</Name><Description>≤ 6 holes, various shapes</Description><Size>≤ 6 holes</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ216</BillingCode><Name>Ankle Fusion Locking Plate</Name><Description>Mini and ANTT Ankle Fusion Locking Plates, Left/ Right, or Universal with different angles. </Description><Size>6 Holes or less</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>269713</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ425</BillingCode><PriorBillingCodes><PriorBillingCode>LM540</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Simple Plates, Straight, L and T plates</Description><Size>7 to 14 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM540
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ407</BillingCode><PriorBillingCodes><PriorBillingCode>LM519</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>Lisfranc Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM519
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ182</BillingCode><Name>VariAx Clavicle Plating System</Name><Description>Locking Plating System</Description><Size>7-10 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ238</BillingCode><Name>Posterolateral distal fibula plate, locking </Name><Description>Distal fibula locking plate used for open reduction and internal fixation for fractures of the fibula. </Description><Size>10 hole plate</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN980</BillingCode><Name>Peri-Loc</Name><Description>Fibula Plates</Description><Size>≥ 7 to   ≤15 Holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU343</BillingCode><Name>Postero-Lateral Distal Tibial Plate</Name><Description>Plate for Fracture Fixation</Description><Size>9-13 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU365</BillingCode><Name>Patella SuturePlate II Arrow Plate</Name><Description>Titanium Plate for Patella Fracture Fixation</Description><Size>One size only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU342</BillingCode><Name>Vertical Shear Distal Tibial 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>284416</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW598</BillingCode><Name>VariAx Clavicle Plating System</Name><Description>Locking Plating System</Description><Size>7-10 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>196764</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV025</BillingCode><Name>VariAx 2 MIS Calcaneal Plating System</Name><Description>Variable Angle Locking Calcaneal Plating System</Description><Size>Small - Large (7-9 Holes)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>340042</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ537</BillingCode><Name>Pangea Utility Plating System </Name><Description>3.5 Utility Plates

</Description><Size>7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>2024-11-01</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>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ102</BillingCode><Name>Austofix Distal Fibula L&amp;C Plates</Name><Description>Distal Fibula Anatomical Locking Plates</Description><Size>7 to 15 holes, left and right</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ491</BillingCode><PriorBillingCodes><PriorBillingCode>ER604</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER604
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ100</BillingCode><Name>Austofix Small Fragment L&amp;C 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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU321</BillingCode><Name>Locking Distal Fibular 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>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX050</BillingCode><Name>ARMAR 3.5 MM Meril Locking Plate system - Lateral Distal Fibula Plate</Name><Description>Plate for Fracture Fixation</Description><Size>4-10 Holes 80-158 mm Length Left and Right</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>269713</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY037</BillingCode><Name>AO/ASIF Plates</Name><Description>Specialty Plate</Description><Size>7-15 hole</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>269713</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ066</BillingCode><PriorBillingCodes><PriorBillingCode>LM377</PriorBillingCode></PriorBillingCodes><Name>Fibular Osteotomy Plates</Name><Description>Fibular Osteotomy Plates</Description><Size>Sizes to suit patient anatomy</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</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>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ047</BillingCode><PriorBillingCodes><PriorBillingCode>LM372</PriorBillingCode></PriorBillingCodes><Name>Tibial Osteotomy Plates</Name><Description>Tibial Osteotomy Plates</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</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>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>295226</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ291</BillingCode><Name>CASCELLA 3.5mm Superior Clavicle Plate</Name><Description>Superior Clavicle Plate</Description><Size>7 to 12 holes</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ065</BillingCode><PriorBillingCodes><PriorBillingCode>LM376</PriorBillingCode></PriorBillingCodes><Name>Fibular Osteotomy Plates</Name><Description>Fibular Osteotomy Plates</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM546</BillingCode><Name>Midshaft Humerus Plates</Name><Description>Midshaft Humerus Plates</Description><Size>136-244mm, narrow and broad versions.   7 to 13 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH244</BillingCode><Name>ALPS foot system</Name><Description>Fusion Plates – Metatarsal, Lapidus, Single Joint Fusion Closed Compression </Description><Size>small to large</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ802</BillingCode><Name>ARIX Wrist System - Carpal Fusion Plate</Name><Description>Carpal Fusion Plate</Description><Size>7 holes </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ669</BillingCode><Name>ARIX Wrist System - Distal Ulna Plates</Name><Description>Distal Ulna Plates</Description><Size>7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM544</BillingCode><Name>Ulnar Shortening Plates</Name><Description>Distal Ulnar Shortening Plates  Proximal Ulnar Shortening Plates</Description><Size>The Distal Ulnar Shortening Plates are available in two lengths, left and right configurations.    The Proximal Ulnar Shortening Plates are available in two  lengths.</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ032</BillingCode><PriorBillingCodes><PriorBillingCode>LM360</PriorBillingCode></PriorBillingCodes><Name>MTP Plate</Name><Description>MTP Plate</Description><Size>7 to 15 holes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>340044</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW533</BillingCode><Name>VariAx Compression Plating System</Name><Description>Locking Plate System</Description><Size>≥ 7 to ≤ 15</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ650</BillingCode><Name>Forearm Fracture Fixation System – Plates</Name><Description>Locking Compression Plate</Description><Size> 7 - 14 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ405</BillingCode><PriorBillingCodes><PriorBillingCode>LM517</PriorBillingCode></PriorBillingCodes><Name>OMNI Plating System</Name><Description>Straight Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM517
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU341</BillingCode><Name>Postero-Medial Distal Tibial 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>284416</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ489</BillingCode><PriorBillingCodes><PriorBillingCode>ER684</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla LisFranc Plating System</Name><Description>Gorilla LisFranc/TMT Plates, dual ray, anatomically contoured, variable angle locking, left or right, small/medium</Description><Size>small/medium, 8 Hole with 2 Compression Slots. thickness 1.4 mm</Size><SupplierCode>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER684
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ503</BillingCode><PriorBillingCodes><PriorBillingCode>ER482</PriorBillingCode></PriorBillingCodes><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 1.5/2.0 mm; multi screw diameter purchase</Size><SupplierCode>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER482
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ064</BillingCode><PriorBillingCodes><PriorBillingCode>LM379</PriorBillingCode><PriorBillingCode>LM379</PriorBillingCode></PriorBillingCodes><Name>Ankle Fusion Plate</Name><Description>Ankle Fusion Plate</Description><Size>Suitable for patient anatomy</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</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>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ502</BillingCode><PriorBillingCodes><PriorBillingCode>ER481</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER481
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ354</BillingCode><PriorBillingCodes><PriorBillingCode>LM309</PriorBillingCode></PriorBillingCodes><Name>Osteomed FPS</Name><Description>Tubular Plates</Description><Size>7 to 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM309
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ677</BillingCode><Name>Colink Afx One Third Tubular Plates Large</Name><Description>One-Third Tubular Plates</Description><Size>7, 8, 10, 12 Hole </Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ552</BillingCode><Name>Pangea Utility Plating System </Name><Description>3.5 Utility Plates

</Description><Size>Greater than 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ490</BillingCode><PriorBillingCodes><PriorBillingCode>ER605</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER605
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN134</BillingCode><Name>TC-100</Name><Description>3.5mm Reconstruction Plates</Description><Size>≥ 16 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY810</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plate</Description><Size>≥16 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ624</BillingCode><Name>3.5 mm Locking Compression Plate, Sterile </Name><Description>Locking Compression Plate, Sterile </Description><Size>More than or equal to 16 holes </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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)
3.5mm anterolateral right (2,3,4,5 holes)
3.5mm Narrow Left (2,3,4,5, holes)
3.5mm narrow right (2,3,4,5 holes)
3.5mm wide left (2,3,4,5 holes)
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>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU366</BillingCode><Name>Patella SuturePlate II Star Plate</Name><Description>Titanium Plate for Patellar Fracture Fixation</Description><Size>Small, Medium, Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU364</BillingCode><Name>Patella Suture Plate II Star Plate Pole Fracture</Name><Description>Titanium Plate for Fracture Fixation</Description><Size>Small, Medium, Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG><ARTG>139635</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY809</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plate</Description><Size>≥16 holes</Size><SupplierCode>MN</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>2024-11-01</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ329</BillingCode><Name>Omni Stable AF Plating System</Name><Description>Lateral and straight variable angle locking plates</Description><Size>16 - 19 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2024-11-01</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV005</BillingCode><Name>SternalPlate Closure System - Plates</Name><Description>Titanium Sternal Fixation System</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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 
Open wedge locking plate 4mm (OW) up to 7mm
Open wedge locking plate 0mm
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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ031</BillingCode><PriorBillingCodes><PriorBillingCode>LM361</PriorBillingCode></PriorBillingCodes><Name>Jones Fracture Plate</Name><Description>Jones Fracture Plate</Description><Size>6 holes or less</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY737</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Plates</Description><Size>≤6 Holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU359</BillingCode><Name>Mini Fragment System - Straight Plates</Name><Description>Plates for Fracture Fixation</Description><Size>&lt;6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY736</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Plates</Description><Size>≤ 6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ035</BillingCode><PriorBillingCodes><PriorBillingCode>LM342</PriorBillingCode><PriorBillingCode>LM342</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Plate</Name><Description>Orthopaedic Fixation Plates</Description><Size>Screw size 2.7mm or less
6 holes or less</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ496</BillingCode><PriorBillingCodes><PriorBillingCode>ER483</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER483
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ205</BillingCode><Name>5MS Plantar Plates </Name><Description>Anatomic contoured titanium 4, 5-hole plates for proximal 5th metatarsal fractures.</Description><Size>4, 5 Hole Plates</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ553</BillingCode><Name>Pangea Utility Plating System </Name><Description>2.7 Utility Plates</Description><Size>Less than or equal to 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV006</BillingCode><Name>SternalPlate Closure System - Plates</Name><Description>Titanium Sternal Fixation System</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ207</BillingCode><Name>5MS Titanium Locking Plates less than equal to 6 Hole</Name><Description>Anatomic curved titanium 4 - 6 -hole plates for 5th metatarsal fractures.</Description><Size>4, 5, 6, Hole</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>291615</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO006</BillingCode><PriorBillingCodes><PriorBillingCode>LM481</PriorBillingCode></PriorBillingCodes><Name>Complex Variable Locking Hand Plates</Name><Description>Complex Variable Locking Hand Plates</Description><Size>6 holes or less</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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/
Opening Wedge Locking plate 0MM-7MM
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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY804</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Plates</Description><Size>≤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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN116</BillingCode><Name>TC-100  </Name><Description>2.7mm T Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>357433</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ258</BillingCode><Name>Colink Vallux Plate</Name><Description>MIS Plate for Tri planar Hallux Valgus Correction</Description><Size>4 - Hole</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ234</BillingCode><Name>Mini Comprehensive Fixation System Plates</Name><Description>VAL Plate Mini Comprehensive Fixation System (CFS)</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ253</BillingCode><Name>Colink Mini Plates VAL up to 6 Hole</Name><Description>Foot and Ankle Mini Plates Titanium, Various designs straight, L, and T Plates.</Description><Size>2 - 6 Hole</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO014</BillingCode><PriorBillingCodes><PriorBillingCode>LM479</PriorBillingCode></PriorBillingCodes><Name>Variable Locking Hand Plates</Name><Description>Variable Locking Hand Plates</Description><Size>6 holes or less</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN088</BillingCode><Name>TC-100</Name><Description>Semitubular Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ529</BillingCode><PriorBillingCodes><PriorBillingCode>ER492</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER492
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN932</BillingCode><Name>TC-100</Name><Description>2.0mm Straight Plates</Description><Size>≤6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB085</BillingCode><Name>Marathon Mini VAL System</Name><Description>Marathon Mini VAL System</Description><Size>6 holes or less</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>236206</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU351</BillingCode><Name>Mini Fragment System - Tine Plate</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm, 6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>237797</ARTG><ARTG>239452</ARTG><ARTG>200615</ARTG><ARTG>269713</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ497</BillingCode><PriorBillingCodes><PriorBillingCode>ER484</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER484
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ348</BillingCode><PriorBillingCodes><PriorBillingCode>LM254</PriorBillingCode></PriorBillingCodes><Name>OsteoMed FPS</Name><Description>Titanium locking footplates</Description><Size>2mm and 2.7mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM254
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>155633</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY747</BillingCode><Name>AO/ASIF Plates</Name><Description>Condylar plates</Description><Size>≤ 6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN083</BillingCode><Name>TC-100</Name><Description>2.0mm T Plates </Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ550</BillingCode><Name>Pangea Utility Plating System </Name><Description>2.7 Utility Plates</Description><Size>7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN306</BillingCode><Name>AO/ASIF Plate</Name><Description>VA Locking Patella Plating System, Stainless Steel, 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><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ347</BillingCode><PriorBillingCodes><PriorBillingCode>LM253</PriorBillingCode></PriorBillingCodes><Name>OsteoMed FPS</Name><Description>Titanium locking footplates</Description><Size>2mm and 2.7mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM253
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ356</BillingCode><PriorBillingCodes><PriorBillingCode>LM262</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM262
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>340042</ARTG><ARTG>124319</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU350</BillingCode><Name>Mini Fragment System - T-Plate</Name><Description>Plate for Fracture Fixation</Description><Size>&gt;7-15 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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB084</BillingCode><Name>Marathon Mini VAL System</Name><Description>Marathon Mini VAL System</Description><Size>7 - 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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ252</BillingCode><Name>Colink Mini Plates VAL from 7 Hole to 15 Hole</Name><Description>Foot and Ankle Mini Plates Titanium, Various designs straight, L, and T Plates.</Description><Size>7 - 8 Hole</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>357433</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ294</BillingCode><Name>Y-Plate, 2.4mm, 11 hole</Name><Description>Plate used for fracture fixation or fusion</Description><Size>2.4mm plate 11 hole plate</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR090</BillingCode><Name>Stryker Locking Plates System</Name><Description>Locking Plates</Description><Size>7-13</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>35241</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>357433</ARTG><ARTG>124319</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO003</BillingCode><PriorBillingCodes><PriorBillingCode>LM480</PriorBillingCode></PriorBillingCodes><Name>Variable Locking Hand Plates</Name><Description>Variable Locking Hand Plates</Description><Size>7 to 15 holes</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU352</BillingCode><Name>Mini Fragment System - Tine Plate</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm, 10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>308</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>308</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>308</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV004</BillingCode><Name>SternalPlate Closure System - Plates</Name><Description>Titanium Sternal Fixation System</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ129</BillingCode><PriorBillingCodes><PriorBillingCode>LM343</PriorBillingCode><PriorBillingCode>LM343</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Plate</Name><Description>Orthopaedic Fixation Plate</Description><Size>Screw size 2.7mm or less
7 to 15 holes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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
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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU345</BillingCode><Name>Mini Fragment System - Wide T-Plate</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm; 11 and 15 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ206</BillingCode><Name>5MS Titanium Locking Plates greather than and equal to 7 Hole</Name><Description>Anatomic curved titanium 8-hole plates for 5th metatarsal fractures and osteotomies</Description><Size>7 -15 Hole Plate</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU360</BillingCode><Name>Mini Fragment System - Triangular Plate</Name><Description>Plate for Fracture Fixation</Description><Size>&gt;7-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU361</BillingCode><Name>Mini Fragment System - Straight Plates</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm; 8 holes, 8 holes reinforced, 10 holes, 10 holes reinforced</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ262</BillingCode><Name>DALVAZZA 2.5mm Distal Ulna Plate</Name><Description>Distal Ulna Plate</Description><Size>One size only</Size><SupplierCode>AAD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH064</BillingCode><Name>Sternalock</Name><Description>plates, various shapes</Description><Size>7-15 holes</Size><SupplierCode>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO007</BillingCode><PriorBillingCodes><PriorBillingCode>LM482</PriorBillingCode></PriorBillingCodes><Name>Complex Variable Locking Hand Plates</Name><Description>Complex Variable Locking Hand Plates</Description><Size>7 to 15 holes</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ500</BillingCode><PriorBillingCodes><PriorBillingCode>ER485</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER485
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV007</BillingCode><Name>SternalPlate Closure System - Plates</Name><Description>Titanium Sternal Fixation System  </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ355</BillingCode><PriorBillingCodes><PriorBillingCode>LM263</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from LM263
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ501</BillingCode><PriorBillingCodes><PriorBillingCode>ER486</PriorBillingCode></PriorBillingCodes><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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER486
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN305</BillingCode><Name>AO/ASIF Plates</Name><Description>VA Locking Patella Plating System, Stainless Steel, 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><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ656</BillingCode><Name>Mini Fragment Plate 2.7mm </Name><Description>Mini Fragment Plate, greater or equal to 16-hole, Variable angle locking</Description><Size>2.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO008</BillingCode><PriorBillingCodes><PriorBillingCode>LM483</PriorBillingCode></PriorBillingCodes><Name>Complex Variable Locking Hand Plates</Name><Description>Complex Variable Locking Hand Plates</Description><Size>16 holes or more</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ498</BillingCode><PriorBillingCodes><PriorBillingCode>ER420</PriorBillingCode><PriorBillingCode>ER499</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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER499
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR091</BillingCode><Name>Stryker Locking Plate System</Name><Description>Locking Plates</Description><Size>≥16 hole</Size><SupplierCode>JV</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU353</BillingCode><Name>Mini Fragment System - Wide T-Plate</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm; 24 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>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>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU354</BillingCode><Name>Mini Fragment System - Straight Plates 2.4mm</Name><Description>Plates for Fracture Fixation</Description><Size>2.4mm; 20 holes and 20 holes reinforced</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU346</BillingCode><Name>Mini Fragment System - Straight Plates</Name><Description>Plate for Fracture Fixation</Description><Size>2.7mm; 20 holes and 20 holes reinforced</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV009</BillingCode><Name>SternalPlate Closure System - Plates</Name><Description>Titanium Sternal Fixation System</Description><Size>≥ 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>386783</ARTG></ARTGs><MinimumBenefit>893</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ499</BillingCode><PriorBillingCodes><PriorBillingCode>ER420</PriorBillingCode><PriorBillingCode>ER500</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>AAA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>Change to Organisation
Billing code transferred from ER500
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ551</BillingCode><Name>Pangea Utility Plating System </Name><Description>2.7 Utility Plates</Description><Size>Greater than 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY629</BillingCode><Name>'AO/ASIF Plates</Name><Description>Non-locking Plates</Description><Size>≥ 16 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW788</BillingCode><Name>Stryker Plating System</Name><Description>Non-locking Plates</Description><Size>≥ 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>357433</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2024-11-01</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>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2024-11-01</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>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN935</BillingCode><Name>TC-100</Name><Description>1.5mm Mini Plates</Description><Size>≥16 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN933</BillingCode><Name>TC-100</Name><Description>2.0mm Straight Plates</Description><Size>≥16 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY609</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>2-6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>324</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>139622</ARTG></ARTGs><MinimumBenefit>324</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY606</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>2-6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>324</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN493</BillingCode><Name>Paediatric Osteotomy System</Name><Description> Paediatric Osteotomy System</Description><Size>≤ 6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</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>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN912</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Plate (hip screw)</Description><Size>≤6 holes</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN488</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Compressing</Description><Size>One size only</Size><SupplierCode>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108429</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY607</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>7-15 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>360</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY610</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>8-14 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>360</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><ARTGs><ARTG>139622</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY611</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>≥ 16-20 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5266</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>745</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY608</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>≥ 16 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5266</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>745</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>JV</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>2024-11-01</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>2024-11-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY641</BillingCode><Name>AO/ASIF Plates</Name><Description>DCS DHS plate</Description><Size>≤ 6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>SL</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>ZA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2024-11-01</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>2024-11-01</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>JV</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>2024-11-01</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>ZA</SupplierCode><CategoryID>13</Cat